ارزیابی تغییرات فشار داخل شکمی در بیماران ابدومینوپلاستی

نوع مقاله : Original Article(s)

نویسندگان

1 دانشیار، گروه جراحی پلاستیک، مرکز تحقیقات جراحی کم تهاجمی و اندوسکوپیک، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استادیار، گروه جراحی پلاستیک، مرکز تحقیقات جراحی کم تهاجمی و اندوسکوپیک، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 دستیار، گروه جراحی پلاستیک، مرکز تحقیقات جراحی کم تهاجمی و اندوسکوپیک، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقاله پژوهشی




مقدمه: ابدومینوپلاستی به علت دو مانور پلیکاسیون فاشیا و رزکسیون فلاپ با احتمال افزایش فشار شکمی و عوارض ناشی از آن همراه است. این مطالعه با هدف ارزیابی تغییرات فشار شکمی طی ابدومینوپلاستی و متغیرها و عوارض احتمالی آن انجام شد.
روش‌ها: این پژوهش به صورت مطالعه‌ی همگروهی در 20 بیمار خانم که در سال 1402-1401 در بیمارستان‌های قائم و طالقانی مشهد تحت لیپوابدومینوپلاستی قرار گرفتند انجام شد. اطلاعات بیماران در دو بخش دموگرافیکی و بالینی جمع‌آوری گردید. فشار شکمی بعد بیهوشی، پلیکاسیون، انتهای عمل و روز بعد عمل و عوارض یک‌ماهه ثبت شد.
یافته‌ها: تفاوت آماری معنی‌داری در میانگین تغییرات فشار شکمی بعد بیهوشی، پلیکاسیون، انتهای عمل و روز بعد عمل وجود داشت. افزایش فشار شکمی بعد بیهوشی و بعد پلیکاسیون تنها با افزایش وزن نمونه جراحی ارتباط معنی‌دار داشت، اما با عرض پلیکاسیون مرتبط نبود.
نتیجه‌گیری: عرض پلیکاسیون با افزایش فشار داخل شکمی در مطالعه‌ی ما ارتباطی نداشت. با وجود افزایش معنی‌دار فشار شکمی، عوارض سیستمیک قابل توجهی دیده نشد. تکنیک صحیح علاوه بر مانیتورینگ بیمار، ایمنی و رضایت بیمار را بدنبال خواهد داشت.

تازه های تحقیق

عزت اله رضایی:  Google Scholar, PubMed

سید یاور شمس حجتی: Google Scholar, PubMed

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Evaluation of Changes in Intra-Abdominal Pressure in Abdominoplasty Patients

نویسندگان [English]

  • Ezzatollah Rezaei 1
  • Seyed yavar Shams hojjati 2
  • Ehsan Solati 3
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
چکیده [English]

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.

کلیدواژه‌ها [English]

  • Abdominoplasty
  • Surgery
  • Abdomen
  • Pressure
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