WORLD JOURNAL OF PLASTIC SURGERY

en The Effects of Lipoabdominoplasty with the Application of Intra-Abdominal Pressure and Respiratory Airway Pressure in Women: A Multicenter Prospective Study تخصصي Special مقالات اصيل Original Article 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.   Lipoabdominoplasty, Women, Plication, Intra-abdominal pressure, Respiratory Airway pressure 52 58 http://wjps.ir/browse.php?a_code=A-10-859-4&slc_lang=en&sid=1 Khalil Rostami 100319475328460016496 100319475328460016496 No Department of Plastic and Reconstructive Surgery, Shahid Modares Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Amirhossein Karimi amirkarimi60.id@gmail.com 100319475328460016497 100319475328460016497 Yes Department of Plastic and Reconstructive Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran Soraya Shahrokh 100319475328460016498 100319475328460016498 No 2. Department of Plastic and Reconstructive Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran