University of California, Los Angeles, CA, USA.
Aesthet Surg J. 2010 Jul-Aug;30(4):571-8. doi: 10.1177/1090820X10377148.
It is generally believed that continuous or discontinuous undermining of an abdominoplasty flap is necessary for its advancement, but it is also recognized that such undermining may increase the risk of ischemic complications.
The author describes a grid-marking system to quickly identify the redundant tissue in abdominoplasty, making the procedure simpler, safer, and more consistent.
A standardized grid was preoperatively marked on 35 consecutive female abdominoplasty patients to determine the exact pattern and extent of skin resection at the beginning of the procedure. This allowed resection of redundant tissue while confining proximal flap undermining to the minimum amount necessary for diastasis repair and umbilical repositioning.
The 35 patients who underwent abdominoplasty with the author's technique were followed from three months to 2.5 years. Of these, 12 underwent simultaneous liposuction. All procedures were performed on an outpatient basis under general anesthesia in an accredited office operating facility. Overall results were excellent, with no flap ischemia or other complications directly related to wound tension or to limited undermining.
A standardized grid system allows identification of redundant abdominoplasty tissue before any incisions are made, which limits undermining to the area over the medial rectus abdominis muscles, the minimum amount necessary for diastasis repair and umbilical repositioning. Simultaneous liposuction can be performed with relative safety, although it is not required for flap advancement.
人们普遍认为，为了推进腹部整形皮瓣，需要对其进行连续或不连续的削弱，但也认识到这种削弱可能会增加缺血性并发症的风险。
作者描述了一种网格标记系统，用于快速识别腹部整形中的多余组织，使手术更简单、更安全、更一致。
在 35 名连续的女性腹部整形患者的术前预先标记了标准化的网格，以确定手术开始时皮肤切除的确切模式和范围。这允许切除多余的组织，同时将近端皮瓣的削弱限制在修复腹直肌分离和重新定位肚脐所需的最小量。
接受作者技术的 35 名腹部整形患者的随访时间从三个月到 2.5 年不等。其中 12 例同时接受了抽脂术。所有手术均在全身麻醉下于认证的办公室手术设施进行门诊治疗。总体结果非常出色，没有皮瓣缺血或其他直接与伤口张力或有限削弱相关的并发症。
标准化的网格系统允许在进行任何切口之前识别多余的腹部整形组织，将削弱限制在腹直肌内侧的区域，这是修复腹直肌分离和重新定位肚脐所需的最小量。可以相对安全地进行同时抽脂术，尽管它不是皮瓣推进所必需的。
