Porto, Portugal; and Birmingham, Ala. From the Department of Plastic Surgery, São João Hospital, Porto Medical School, and the Division of Plastic Surgery, University of Alabama at Birmingham.
Plast Reconstr Surg. 2010 Apr;125(4):1232-1239. doi: 10.1097/PRS.0b013e3181d0ac59.
Preservation of the Scarpa fascia has been suggested as a way of lowering complications associated with conventional abdominoplasty. Objective evidence regarding this strategy is lacking. The purpose of this investigation was to evaluate the effect of preserving the Scarpa fascia in the infraumbilical area during a full abdominoplasty.
A prospective study was performed at a single center from November of 2005 to November of 2007 of the patients submitted to abdominoplasty with umbilical transposition. Two groups were identified: group A, classic full abdominoplasty; and group B, full abdominoplasty with preservation of infraumbilical Scarpa fascia. Several variables were determined: age, body mass index, previous surgical procedures, comorbid conditions, specimen weight, time to suction drain removal, total volume of drain output, and length of hospital stay.
A total of 208 full abdominoplasties were performed (group A, 143 patients; group B, 65 patients). There was no statistically significant difference between groups with respect to body mass index, previous abdominal operations, comorbid medical conditions, or weight of the surgical specimen (p > 0.05). The group with preservation of the Scarpa fascia had an average reduction of the total amount of drain output of more than 50 percent (p < 0001). This group also had an average reduction of 2.0 days until the time to drain removal (p < 0.001) and 1.9 days of the hospital stay (p < 0.001).
Preservation of the Scarpa fascia during abdominoplasty has a beneficial effect on patient recovery, as it reduces the total drain output, time to drain removal, and length of hospital stay.
保留 Scarpa 筋膜被认为是降低传统腹部整形术相关并发症的一种方法。但缺乏关于该策略的客观证据。本研究旨在评估在全腹部整形术中保留脐下 Scarpa 筋膜的效果。
在 2005 年 11 月至 2007 年 11 月期间，在一家单中心进行了一项前瞻性研究，研究对象为接受脐转移的腹部整形术患者。确定了两组：A 组，经典全腹部整形术；B 组，保留脐下 Scarpa 筋膜的全腹部整形术。确定了几个变量：年龄、体重指数、以前的手术程序、合并症、标本重量、吸引导管移除时间、引流总量和住院时间。
共进行了 208 例全腹部整形术（A 组 143 例，B 组 65 例）。两组之间的体重指数、以前的腹部手术、合并症或手术标本的重量没有统计学差异（p>0.05）。保留 Scarpa 筋膜组的引流总量平均减少了 50%以上（p<0.001）。该组的引流移除时间平均减少了 2.0 天（p<0.001），住院时间平均减少了 1.9 天（p<0.001）。
在腹部整形术中保留 Scarpa 筋膜对患者的恢复有有益的影响，因为它减少了总引流量、引流移除时间和住院时间。
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