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

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


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