مجله جهانی جراحی پلاستیک
مجله جهانی جراحی پلاستیک
سه شنبه 9 اردیبهشت 1404
[Archive]
دوره 14، شماره 1 - ( 1403 )
جلد 14 شماره 1 صفحات 58-52 |
برگشت به فهرست نسخه ها
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
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-fa.html
URL: http://wjps.ir/article-1-1370-fa.html
The Effects of Lipoabdominoplasty with the Application of Intra-Abdominal Pressure and Respiratory Airway Pressure in Women: A Multicenter Prospective Study. مجله جهانی جراحی پلاستیک. 1403; 14 (1) :52-58
چکیده: (392 مشاهده)
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.
فهرست منابع
1. Xia Y, Zhao J, Cao DS. Safety of lipoabdominoplasty versus abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 2019 ; 15 (43):167-74. doi: 10.1007/s00266-018-1270-3 [DOI:10.1007/s00266-018-1270-3]
2. Saldanha O, Ordenes AI, Goyeneche C, Cánchica AF, Saldanha Filho O, Saldanha CB, Menegazzo MR, Cação EG. Lipoabdominoplasty with anatomical definition. Plast Reconst. Surg 2020; 146(4):766-77. doi:10.1097/PRS.0000000000007184 [DOI:10.1097/PRS.0000000000007184]
3. Swanson E. Prospective outcome study of 360 patients treated with liposuction, lipoabdominoplasty, and abdominoplasty. Plast Reconst Surg 2012;129(4):965-78. doi: 10.1097/PRS.0b013e318244237f [DOI:10.1097/PRS.0b013e318244237f]
4. Seth AK, Lin AM, Austen Jr WG, Gilman RH, Gallico III GG, Colwell AS. Impact of patient subtype and surgical variables on abdominoplasty outcomes: a 12-year Massachusetts General Hospital experience. Plast Reconst Surg 2017; 140(5):899-908. doi: 10.1097/PRS.0000000000003816 [DOI:10.1097/PRS.0000000000003816]
5. Branford OA, Kamali P, Rohrich RJ, Song DH, Mallucci P, Liu DZ, Lang D, Sun K, Stubican M, Lin SJ. PlasticSurgery. Plast Reconst Surg 2016; 138(6):1354-65. doi:10.1097/PRS.0000000000002814 [DOI:10.1097/PRS.0000000000002814]
6. Saldanha OR, Federico R, Daher PF, Malheiros AA, Carneiro PR, Azevedo SF, Saldanha Filho OR, Saldanha CB. Lipoabdominoplasty. Plast Reconst Surg 2009;124(3):934-42. doi: 10.1097/PRS.0b013e3181b037e3 [DOI:10.1097/PRS.0b013e3181b037e3]
7. Samra S, Sawh-Martinez R, Barry O, Persing JA. Complication rates of lipoabdominoplasty versus traditional abdominoplasty in high-risk patients. Plast Reconst Surg 2010;125(2):683-90. doi: 10.1097/PRS.0b013e3181c82fb0 [DOI:10.1097/PRS.0b013e3181c82fb0]
8. Matarasso A, Swift RW, Rankin M. Abdominoplasty and abdominal contour surgery: a national plastic surgery survey. Plast Reconst Surg 2006;117(6):1797-808. doi: 10.1097/01.prs.0000209918.55752.f3 [DOI:10.1097/01.prs.0000209918.55752.f3]
9. Sirota M, Weiss A, Billig A, Hassidim A, Zaga J, Adler N. Abdominoplasty complications-what additional risks do postbariatric patients carry?. J Plast Reconstr Aesthet Surg 2021;74(12):3415-20. doi: 10.1016/j.bjps.2021.05.018 [DOI:10.1016/j.bjps.2021.05.018]
10. Pillai RT, Joseph V, Marar K. Intra abdominal pressure changes in meshplasty and abdominal wall plication techniques in abdominoplasty: a comparative study. Int J Surg 2021;8(11):3370-4. doi: 10.18203/2349-2902.isj20214373 [DOI:10.18203/2349-2902.isj20214373]
11. Muturi A, Ndaguatha P, Ojuka D, Kibet A. Prevalence and predictors of intra-abdominal hypertension and compartment syndrome in surgical patients in critical care units at Kenyatta National Hospital. BMC Emerg Med 2016;17(1) :1-0. doi: 10.1186/s12873-017-0120-y [DOI:10.1186/s12873-017-0120-y]
12. Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM, Del Turco M, Wilmer A, Brienza N, Malcangi V, Cohen J. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Critical Care Medicine 2005;33(2):315-22. doi: 10.1097/01.CCM.0000153408.09806.1B [DOI:10.1097/01.CCM.0000153408.09806.1B]
13. Al-Basti HB, El-Khatib HA, Taha A, Sattar HA, Bener A. Intraabdominal pressure after full abdominoplasty in obese multiparous patients. Plast Reconst Surg 2004;113(7):2145-50. doi: 10.1097/01.PRS.0000122543.44977.46 [DOI:10.1097/01.PRS.0000122543.44977.46]
14. Talisman R, Kaplan B, Haik J, Aronov S, Shraga A, Orenstein A. Measuring alterations in intra-abdominal pressure during abdominoplasty as a predictive value for possible postoperative complications. Aesthetic plastic surgery 2002:34(1):189-92. doi: 10.1007/s00266-001-1469-5 [DOI:10.1007/s00266-001-1469-5]
15. Rodrigues MA, Nahas FX, Gomes HC, Ferreira LM. Ventilatory function and intra-abdominal pressure in patients who underwent abdominoplasty with plication of the external oblique aponeurosis. Aesthetic Plast Surg 2013 ;37(1):993-9. doi: 10.1007/s00266-013-0158-5 [DOI:10.1007/s00266-013-0158-5]
16. Fluhr S, Andrade AD, Oliveira EJ, Rocha T, Medeiros AI, Couto A, Maia JN, Brandão DC. Lipoabdominoplasty: repercussions for diaphragmatic mobility and lung function in healthy women. Jornal Brasileiro de Pneumologia 2019;45(03):e20170395. doi: 10.1590/1806-3713/e20170395 [DOI:10.1590/1806-3713/e20170395]
17. Amaral JD, Soares DA, Oliveira junior JG, Daher L, Costa M, Moura LG, Andrade FC, Rebonato EF, Daher JC. Evaluation of pressure parameters intraabdominal and thoracic in patients submitted to abdominoplasty. Revista Brasileira de Cirurgia Plástica 2023; 32:231-6. doi: 10.5935/2177-1235.2017RBCP0036 [DOI:10.5935/2177-1235.2017RBCP0036]
18. Tercan M, Bekerecioglu M, Dikensoy O, Kocoglu H, Atik B, Isik D, Tercan A. Effects of abdominoplasty on respiratory functions: a prospective study. Ann Plast Surg 2002;49(6):617-20. doi: 10.1097/00000637-200212000-00011 [DOI:10.1097/00000637-200212000-00011]
| بازنشر اطلاعات | |
 |
این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است. |
