Evaluation of Changes in Intra-Abdominal Pressure in Abdominoplasty Patients

Document Type : Original Article(s)

Authors

1 Associate Professor, Department of Plastic Surgery, Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Assitant Professor, Department of Plastic Surgery, Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant, Department of Plastic Surgery, Endoscopic and Minimally Invasive Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

10.48305/jims.v41.i751.1203

Abstract

Background: Abdominoplasty due to the two maneuvers of fascia plication and flap resection is associated with the possibility of increased intra-abdominal pressure and its related complications. This study was conducted to evaluate the changes in intra-abdominal pressure during abdominoplasty, as well as its variables and possible complications.
Methods: This research was conducted as a cohort study on 20 female patients who underwent lipoabdominoplasty in 2022-2023 at Taleghani and Ghaem hospitals, Mashhad City, Iran. Patient information was collected in both demographic and clinical sections. Intra-abdominal pressure was recorded after anesthesia, plication, at the end of the operation, and the day after the operation, along with monitoring complications for one month.
Findings: There was a statistically significant difference in the mean changes in intra-abdominal pressure after anesthesia, plication, at the end of the operation, and the day after the operation. The increase in intra-abdominal pressure after anesthesia and after plication was only significantly related to the increase in the weight of the surgical specimen, but it wasn’t related to plication width.
Conclusion: Plication width was not related to increased intra-abdominal pressure in our study. Despite the significant increase in intra-abdominal pressure, no significant systemic complications were observed. In addition to monitoring the patient, the correct technique will ensure the safety and satisfaction of the patient.

Highlights

Ezatolah Rezaeie: Google Scholar, PubMed

Seyed Yavar Shams Hojjati: Google Scholar, PubMed

Keywords

Main Subjects

References

  1. Amaral JdLG, Soares DAS, Oliveira Junior JG, Daher LMC, Moura LG, Andrade FC, et al. Evaluation of pressure parameters intra-abdominal and thoracic in patients submitted to abdominoplasty. Rev Bras Cir Plást 2017; 32(2): 231-6.
  2. Daronch OT, Marcante RFR, Neto AAP. Major and minor risk factors for postoperative abdominoplasty complications: A case series. Chinese J Plastic Reconstructive Surg 2022; 4(2): 56-62.
  3. Pereira N, Sciaraffia C, Danilla S, Parada F, Asfora C, Moral C. Effects of Abdominoplasty on intra-abdominal pressure and pulmonary function. Aesthet Surg J 2016; 36(6): 697-702.
  4. Shestak KC. Short scar abdominoplasty update. Clin Plast Surg 2010; 37(3): 505-13.
  5. Matarasso A, Matarasso DM, Matarasso EJ. Abdominoplasty: classic principles and technique. Clin Plast Surg 2014; 41(4): 655-72.
  6. Swanson E. Prospective outcome study of 360 patients treated with liposuction, lipoabdominoplasty, and abdominoplasty. Plast Reconstr Surg 2012; 129(4): 965-78.
  7. Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Intensive Care Med 2006; 32(11): 1722-32.
  8. Malbrain MLNG, De Laet I, Cheatham M. Consensus conference definitions and recommendations on intra-abdominal hypertension (iah) and the abdominal compartment syndrome (acs) - the long road to the final publications, how did we get there? Acta Clin Belg 2007; 62(Suppl 1): 44-59.
  9. Malbrain MLNG, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM, et al. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med 2005; 33(2): 315-22.
  10. 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.
  11. Pillai RT, Joseph V, Marar K. Intra abdominal pressure changes in meshplasty and abdominal wall plication techniques in abdominoplasty: a comparative study. Intern Surg J 2021; 8(11): 3370-4.
  12. Milanesi R, Caregnato RC. Intra-abdominal pressure: an integrative review. Einstein (Sao Paulo) 2016; 14(3): 423-30.
  13. Kron IL, Harman PK, Nolan SP. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg 1984; 199(1): 28-30.
  14. Iberti TJ, Kelly KM, Gentili DR, Hirsch S, Benjamin E. A simple technique to accurately determine intra-abdominal pressure. Crit Care Med 1987; 15(12): 1140-2.
  15. Lozen Y. Intraabdominal hypertension and abdominal compartment syndrome in trauma: pathophysiology and interventions. AACN Clin Issues 1999; 10(1): 104-12; quiz 135-7.
  16. Al-Basti HB, El-Khatib HA, Taha A, Sattar HA, Bener A. Intraabdominal pressure after full abdominoplasty in obese multiparous patients. Plast Reconstr Surg 2004; 113(7): 2145-50; discussion 2151-5.
  17. 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 Plast Surg 2002; 26(3): 189-92.
  18. Mohamed HK, Lashin R, Omran HM, Al-Shaffai MA. The relation between the Distance of Recto-Fascial Plication and the Intra-Abdominal Pressure Changes before and Immediately after Abdominoplasty. The Egyptian J Plastic and Reconstructive Surg 2019; 43(Suppl 1): 143-51.
  19. Rodrigues MA, Nahas FX, Reis RP, Ferreira LM. Does diastasis width influence the variation of the intra-abdominal pressure after correction of rectus diastasis? Aesthet Surg J 2015; 35(5): 583-8.
  20. 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(5): 993-9.
Journal of Isfahan Medical School
Volume 41, Issue 751
3rd Week, March
March and April 2024
Pages 1203-1208

Files

History

  • Receive Date: 02 February 2024
  • Accept Date: 28 April 2024

Share

How to cite

Statistics