ABSTRACT
BACKGROUND: The number of bariatric surgeries for the treatment of morbid obesity has increased, and there is growing demand for postbariatric abdominoplasty. The aim of this study was to evaluate the impacts of Scarpa's fascia preservation on total drainage volume, time to drain removal, and seroma formation in anchor-line abdominoplasty. METHODS: A total of 42 postbariatric patients were randomly assigned to two groups and underwent anchor-line abdominoplasty. Scarpa's fascia was not preserved during abdominoplasty in one group (n = 21) but was preserved in the other group (n = 21). A suction drain was left in place until the drainage volume was less than 30 ml/24 h. Seroma formation was assessed by abdominal ultrasound on the twentieth postoperative day; only fluid collections greater than 30 ml were considered seromas. RESULTS: The time to drain removal was shorter, and the total drainage volume was lower in the fascial preservation group than in the fascial dissection group. However, no difference in the seroma formation rate was observed between the groups. CONCLUSION: Scarpa's fascia preservation decreased the drainage volume and the time to drain removal but not the rate of seroma formation. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Subject(s)
Abdominoplasty , Bariatric Surgery , Bariatric Surgery/adverse effects , Drainage , Fascia , Humans , Postoperative Complications/prevention & control , Seroma/etiology , Seroma/prevention & controlABSTRACT
INTRODUCTION: As the number of bariatric surgeries has increased, so has the demand for post-bariatric abdominoplasty. The aim of this study was to describe a new approach to anchor-line abdominoplasty for the treatment of post-bariatric surgery patients. METHODS: This prospective, longitudinal, single-center study was conducted with 20 women, 23-47 years of age, with a body mass index < 30 kg/m2, who had undergone gastroplasty. The vertical amount of tissue to be excised was estimated preoperatively by the pinch test. The amount of tissue to be removed by transverse resection was determined intraoperatively. Patient satisfaction with the body contour result was assessed. RESULTS: Patient self-assessment showed that 85% of patients were very satisfied, 10% were satisfied, and 5% were not very satisfied with the surgical results. There were no cases of flap necrosis or surgical wound dehiscence. CONCLUSION: The described technique resulted in improved body contour, good scar quality, and a high level of patient satisfaction. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Subject(s)
Abdominoplasty/methods , Bariatric Surgery , Obesity, Morbid/surgery , Adult , Cohort Studies , Female , Humans , Longitudinal Studies , Middle Aged , Patient Satisfaction , Prospective Studies , Young AdultABSTRACT
OBJECTIVES: The aim of this study was to evaluate the histomorphometry of the skin of women during the reproductive period according to the Fitzpatrick classification. METHODS: Thirty women aged 30 to 45 years were included in this study. We studied the surgical sites of extracted nevi. The material was processed for routine histology and then stained with haematoxylin and eosin as well as Picrosirius red. Four-micrometre histological sections were analysed according the Fitzpatrick criteria (skin pigmentation). The skin thickness and collagen concentration were determined for the reticular dermal skin. The data were statistically analysed with ANOVA. RESULTS: Fitzpatrick skin types I and II were thicker than the other skin types. CONCLUSIONS: Our data suggest that white skin may be less thick than dark skin.
Subject(s)
Collagen , Dermis/cytology , Epidermal Cells/cytology , Skin Pigmentation , Adult , Female , Humans , Middle Aged , PhotomicrographyABSTRACT
OBJECTIVES: The aim of this study was to evaluate the histomorphometry of the skin of women during the reproductive period according to the Fitzpatrick classification. METHODS: Thirty women aged 30 to 45 years were included in this study. We studied the surgical sites of extracted nevi. The material was processed for routine histology and then stained with haematoxylin and eosin as well as Picrosirius red. Four-micrometre histological sections were analysed according the Fitzpatrick criteria (skin pigmentation). The skin thickness and collagen concentration were determined for the reticular dermal skin. The data were statistically analysed with ANOVA. RESULTS: Fitzpatrick skin types I and II were thicker than the other skin types. CONCLUSIONS: Our data suggest that white skin may be less thick than dark skin.
Subject(s)
Humans , Female , Adult , Middle Aged , Skin Pigmentation , Collagen , Dermis/cytology , Epidermal Cells , PhotomicrographyABSTRACT
Lesões labiais extensas sempre representaram um desafio para a cirurgia plástica. Não existe técnica ideal para reconstrução labial. Neste artigo são relatados os casos de 2 pacientes que apresentavam grandes defeitos no lábio inferior, acometendo 80% e 60% da superfície dessa estrutura, após traumatismo lacerocontuso e ressecção de tumor epidermoide, respectivamente. Esses pacientes foram submetidos a reconstrução labial pela técnica de Karapandzic¹, descrita em 1974. No primeiro caso, o resultado foi considerado desfavorável, em decorrência da presença de deiscência. No segundo caso, foi obtido bom resultado estético e funcional, sem sofrimento dos retalhos ou hematomas. A técnica de Karapandzic constitui uma opção de fácil execução e reprodutível, apresentando bons resultados estéticos e funcionais.
Reconstruction of extensive labral lesions has always been a challenge for plastic surgeons. Thus far, an optimal lip reconstruction technique has not yet been established. This report includes 2 cases of large lower lip defects, affecting 80% and 60% of the surface structure that resulted from laceration/contusion trauma and epidermal tumor resection, respectively. The patients underwent lip reconstruction using the Karapandzic technique, which was first described in 1974. In the first case, the result was considered unfavorable because of dehiscence. In the second case, good functional and aesthetic results were obtained without from the patchwork or bruises. The Karapandzic technique is easy to perform and may be considered a reproducible option for lip reconstruction with good functional and aesthetic results.
Subject(s)
Humans , Male , Adult , Middle Aged , History, 21st Century , Surgical Flaps , Plastic Surgery Procedures , Esthetics , Lip , Surgical Flaps/surgery , Plastic Surgery Procedures/methods , Esthetics/psychology , Lip/abnormalities , Lip/surgery , Lip/injuriesABSTRACT
Hipospádia feminina é uma doença raramente diagnosticada na infância na qual o óstio externo da uretra localiza-se na parede anterior da vagina. Na pesquisa da literatura encontram-se raros relatos de casos em crianças do sexo feminino. O diagnóstico nesta faixa etária acaba sendo feito quando há infecções urinárias recorrentes. Este trabalho apresenta um caso de uma criança de sete anos de idade cuja localização atípica do óstio da uretra foi corrigida através de cirurgia clássica modifi cada e adverte, ainda, da necessidade de realização de exames mais detalhados em crianças do sexo feminino que apresentam infecções urinárias de repetição, observando-se com mais atenção a localização anatômica do óstio externo da uretra.
Female hypospadia is a rare malformation in which the external urethral meatus is situated on the anterior vaginal wall. The cases reported in the literature in children are extremely rare, and the diagnosis is established when the patient presents recurrent urinary infections. This paper presents the case of a seven-year-old female with hypospadia whose atypical location of the ostium of the urethra was repaired by using modifi ed classical surgery and draws further attention to the necessity of more detailed examinations on female children who have recurrent urinary infections, observing more closely the anatomical location of the external urethral orifi ce.
Subject(s)
Humans , Female , Child , Congenital Abnormalities/diagnosis , Female Urogenital Diseases , Hypospadias/diagnosis , Urinary Tract InfectionsABSTRACT
Os autores propõem a análise da classificação clínica da pele, considerando a evolução do homem dentro de diferentes locais geográficos no planeta. Estudos histológicos sugerem ser a origem do homem única, tendo como base a quantidade de melanócitos, que é semelhante nos diferentes tipos de pele, variando apenas nas características dos melanossomos. Verifica-se que a diferença entre a melanina da epiderme de um caucasoide e de um negroide se encontra, de fato, nas características dos melanossomos. Relatam, também, as várias tentativas de classificar os tipos de pele, mostrando que até hoje não existe uma classificação plenamente satisfatória.