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Endoscopic abdominoplasty: an alternative approach
Martin Iglesias1, Leonardo Bravo, Claudia Chavez-Muñoz
1Plastic Surgery Service, Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Tlalpan, Mexico City, Mexico. martiniglesias@infosel.net.mx
Annals of Plastic Surgery
|October 25, 2006
Summary
This study introduces an endoscopic abdominoplasty technique using three incisions and CO2 insufflation. The method achieved satisfactory aesthetic results in seven patients, with manageable complications.
Area of Science:
- Plastic Surgery
- Minimally Invasive Procedures
Background:
- Traditional abdominoplasty involves extensive incisions.
- Endoscopic techniques offer potential for reduced scarring and faster recovery.
Purpose of the Study:
- To describe a novel endoscopic abdominoplasty technique.
- To evaluate the feasibility and preliminary outcomes of this approach.
Main Methods:
- Utilized three incisions based on triangulation principles.
- Employed CO2 insufflation (8 mm Hg) and Esmarch bandages to maintain the subcutaneous cavity and prevent emphysema.
- Performed aponeurosis plication using "8" figure sutures with extracorporeal knots.
Main Results:
- Seven patients underwent the procedure with an average surgery time of 197.11 minutes.
- Two patients experienced mild pulmonary hypoventilation, managed with oxygen therapy.
- Complications included seromas, navel implantation issues, and superficial periumbilical necrosis.
Conclusions:
- The described endoscopic abdominoplasty technique is feasible.
- Satisfactory aesthetic outcomes were reported by patients, despite some manageable complications.
