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Thickness of Rectus Abdominis Muscle and Abdominal Subcutaneous Fat Tissue in Adult Women: Correlation with Age, Pregnancy, Laparotomy, and Body Mass Index
Archives of Plastic Surgery ; : 528-533, 2012.
Artículo en Inglés | WPRIM | ID: wpr-110857
ABSTRACT

BACKGROUND:

Rectus abdominis muscle and abdominal subcutaneous fat tissue are useful for reconstruction of the chest wall, and abdominal, vaginal, and perianal defects. Thus, preoperative evaluation of rectus abdominis muscle and abdominal subcutaneous fat tissue is important. This is a retrospective study that measured the thickness of rectus abdominis muscle and abdominal subcutaneous fat tissue using computed tomography (CT) and analyzed the correlation with the patients' age, gestational history, history of laparotomy, and body mass index (BMI).

METHODS:

A total of 545 adult women were studied. Rectus abdominis muscle and abdominal subcutaneous fat thicknesses were measured with abdominopelvic CT. The results were analyzed to determine if the thickness of the rectus abdominis muscle or subcutaneous fat tissue was significantly correlated with age, number of pregnancies, history of laparotomy, and BMI.

RESULTS:

Rectus abdominis muscle thicknesses were 9.58 mm (right) and 9.73 mm (left) at the xiphoid level and 10.26 mm (right) and 10.26 mm (left) at the umbilicus level. Subcutaneous fat thicknesses were 24.31 mm (right) and 23.39 mm (left). Rectus abdominismuscle thickness decreased with age and pregnancy. History of laparotomy had a significant negative correlation with rectus abdominis muscle thickness at the xiphoid level. Abdominal subcutaneous fat thickness had no correlation with age, number of pregnancies, or history of laparotomy.

CONCLUSIONS:

Age, gestational history, and history of laparotomy influenced rectus abdominis muscle thickness but did not influence abdominal subcutaneous fat thickness. These results are clinically valuable for planning a rectus abdominis muscle flap and safe elevation of muscle flap.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Ombligo / Índice de Masa Corporal / Estudios Retrospectivos / Edad Gestacional / Recto del Abdomen / Pared Torácica / Grasa Subcutánea Abdominal / Grasa Subcutánea / Laparotomía / Músculos Tipo de estudio: Estudio observacional Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Revista: Archives of Plastic Surgery Año: 2012 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Ombligo / Índice de Masa Corporal / Estudios Retrospectivos / Edad Gestacional / Recto del Abdomen / Pared Torácica / Grasa Subcutánea Abdominal / Grasa Subcutánea / Laparotomía / Músculos Tipo de estudio: Estudio observacional Límite: Adulto / Femenino / Humanos / Embarazo Idioma: Inglés Revista: Archives of Plastic Surgery Año: 2012 Tipo del documento: Artículo