Ousterhout D K
Department of Plastic Surgery, University of California, San Francisco.
Ann Plast Surg. 1990 Feb;24(2):126-32; discussion 132-3.
Although combined suction-assisted lipectomy (SAL) and surgical abdominoplasties have been described, the surgical excisions have in general been small and limited to the lower portion of the lower abdomen (i.e., just above the pubis). For the obese patient this is an insufficient lipectomy. SAL alone is unsatisfactory because the marked skin excess will not shrink sufficiently to allow a desired final result. Surgical abdominoplasty alone is also insufficient in the obese patient because the thickness of the abdominal panniculus is not reduced and, additionally, secondary to tissue tension with wound closure, some necrosis of skin above the pubis is not unusual. In this article results are described from a small consecutive series of obese patients treated with a combined extensive SAL, surgical lipectomy, and surgical abdominoplasty. The sequence of fat removal is different than that which has been previously described. In all of the patients the results were pleasing, and there were only two relatively minor complications.
尽管已经有人描述过联合吸脂辅助抽脂术（SAL）和外科腹壁成形术，但一般来说，手术切除范围较小，且仅限于下腹部的下部（即耻骨上方）。对于肥胖患者而言，这种抽脂术并不充分。单独进行SAL并不令人满意，因为明显多余的皮肤不会充分收缩以达到理想的最终效果。单独进行外科腹壁成形术对于肥胖患者也不够，因为腹部赘肉的厚度并未减少，此外，由于伤口闭合时的组织张力，耻骨上方的一些皮肤坏死并不罕见。本文描述了一系列连续的肥胖患者接受广泛联合SAL、手术抽脂术和外科腹壁成形术的治疗结果。脂肪去除的顺序与之前描述的不同。所有患者的结果都令人满意，且仅有两例相对较小的并发症。
