WORLD JOURNAL OF PLASTIC SURGERY
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Volume 14, Issue 1 (2025)
WJPS 2025, 14(1): 52-58 |
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Rostami K, Karimi A, Shahrokh S. The Effects of Lipoabdominoplasty with the Application of Intra-Abdominal Pressure and Respiratory Airway Pressure in Women: A Multicenter Prospective Study. WJPS 2025; 14 (1) :52-58
URL: http://wjps.ir/article-1-1370-en.html
URL: http://wjps.ir/article-1-1370-en.html
1- Department of Plastic and Reconstructive Surgery, Shahid Modares Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Plastic and Reconstructive Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,amirkarimi60.id@gmail.com
2- Department of Plastic and Reconstructive Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,
Abstract: (391 Views)
Background: Abdominoplasty surgery is associated with intra-abdominal pressure (IAP) and respiratory airway pressure (RAP) changes. We aimed to assess the impact of the lipoabdominoplasty on the simultaneous changes in the IAP and RAP and their predictive factors for the first time.
Methods: This prospective study was conducted on 30 women who underwent lipoabdominoplasty between November 2021 and November 2022 in Modares and 15- Khordad hospitals affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Iran. Patients underwent lipoabdominoplasty by a surgeon with more than ten years of experience. RAP was measured based on P platue and P Peak three times (after anesthesia, after plication, and after surgery).
Results: The mean changes of IAP and RAP were significantly different based on the p peak and p plateau after anesthesia, plication, and surgery (P<0.001). Changes in IAP with BMI, degree of laxity, degree of plication, number of pregnancies, xiphoid to pubis distance, and 12th vertebra to ASIS distance were related. RAP (p peak and P platue) with a degree of laxity, degree of plication, number of pregnancies, IAP, xiphoid to pubis distance, and 12th vertebra to ASIS distance were related (P<0.05).
Conclusion: lipoabdominoplasty significantly affects changes in IAP and RAP after anesthesia, plication, and surgery. During lipoabdominoplasty, surgeons should simultaneously pay attention to the changes in both IAP and RAP from the beginning to the end of the surgery, especially in obese women with a history of multiple pregnancies and patients with severe laxity.
Methods: This prospective study was conducted on 30 women who underwent lipoabdominoplasty between November 2021 and November 2022 in Modares and 15- Khordad hospitals affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Iran. Patients underwent lipoabdominoplasty by a surgeon with more than ten years of experience. RAP was measured based on P platue and P Peak three times (after anesthesia, after plication, and after surgery).
Results: The mean changes of IAP and RAP were significantly different based on the p peak and p plateau after anesthesia, plication, and surgery (P<0.001). Changes in IAP with BMI, degree of laxity, degree of plication, number of pregnancies, xiphoid to pubis distance, and 12th vertebra to ASIS distance were related. RAP (p peak and P platue) with a degree of laxity, degree of plication, number of pregnancies, IAP, xiphoid to pubis distance, and 12th vertebra to ASIS distance were related (P<0.05).
Conclusion: lipoabdominoplasty significantly affects changes in IAP and RAP after anesthesia, plication, and surgery. During lipoabdominoplasty, surgeons should simultaneously pay attention to the changes in both IAP and RAP from the beginning to the end of the surgery, especially in obese women with a history of multiple pregnancies and patients with severe laxity.
Keywords: Lipoabdominoplasty, Women, Plication, Intra-abdominal pressure, Respiratory Airway pressure
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