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. 2013 Mar;131(3):644-651. doi: 10.1097/PRS.0b013e31827c704b.
Scarpa fascia preservation has been suggested as a way of reducing complications associated with conventional abdominoplasty. A prospective randomized study was conducted to evaluate the effect on results and complications of preserving the Scarpa fascia during a full abdominoplasty.
This was a single-center study conducted from August of 2009 to February of 2011. Patients were assigned randomly to one of two procedures: classic full abdominoplasty (group A) or a similar type of abdominoplasty except for the preservation of the Scarpa fascia and the deep fat compartment in the infraumbilical area (group B). Four surgeons were involved in the study. Several variables were determined: general characteristics, time to suction drain removal, total volume of drain output, length of hospital stay, systemic complications, local complications, and aesthetic result.
A total of 160 full abdominoplasties were performed in women (group A, 80 patients; group B, 80 patients) equally divided by the four involved surgeons. There were no statistically significant differences between groups with respect to general characteristics, complications (except for the seroma rate), and aesthetic result. The Scarpa fascia preservation group had a highly significant reduction of 65.5 percent on the total drain output, 3 days on the time to drain removal, and 86.7 percent on the seroma rate.
Preservation of the Scarpa fascia during an abdominoplasty had a beneficial effect on patient recovery, as it reduced the total drain output, time to drain removal, and seroma rate without compromising the aesthetic result.
保留 Scarpa 筋膜被认为是减少传统腹部整形术相关并发症的一种方法。一项前瞻性随机研究评估了在全腹部整形术中保留 Scarpa 筋膜对结果和并发症的影响。
这是一项于 2009 年 8 月至 2011 年 2 月进行的单中心研究。患者被随机分配到两种手术之一：经典全腹部整形术（A 组）或类似类型的腹部整形术，但不保留 Scarpa 筋膜和下腹部的深层脂肪隔（B 组）。有 4 位外科医生参与了这项研究。确定了几个变量：一般特征、吸引导流管去除时间、引流总量、住院时间、全身并发症、局部并发症和美容效果。
共有 160 名女性接受了全腹部整形术（A 组 80 例，B 组 80 例），由 4 位参与的外科医生平均分配。两组在一般特征、并发症（除血清肿发生率外）和美容效果方面均无统计学差异。Scarpa 筋膜保留组的引流总量显著减少 65.5%，引流管去除时间缩短 3 天，血清肿发生率降低 86.7%。
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、引流管去除时间和血清肿发生率，而不影响美容效果。
