Zhitny Vladislav Pavlovich, Iftekhar Noama, Zide Barry, Stile Frank
School of Medicine, University of Nevada, Las Vegas, Las Vegas, NV, USA.
School of Medicine, Loyola University of Chicago, Maywood, IL, USA.
Int J Surg Case Rep. 2020;72:241-244. doi: 10.1016/j.ijscr.2020.06.019. Epub 2020 Jun 11.
Abdominoplasty is currently one of the most widely requested cosmetic procedures in the United States. There is limited literature describing the corrective measures following skin loss from a flap necrosis due to an abdominoplasty complication.
A 53-year-old female presented with a large split thickness skin graft due to skin loss as a necrotic complication from an abdominoplasty performed at our center. The patient suffered from emotional stress related to the abdominal deformity, which included a lack of an umbilicus.
Patient recovered well post-operatively. She required two procedures - the initial procedure involved excision of the skin graft and closure with the patient's own full-thickness skin and tissue. The second procedure, which occurred six months later, involved the creation of an umbilical stalk from a small cuff of skin.
Abdominoplasty, although sought for cosmetic purposes, is indeed a major procedure and can result in complications especially from aggressive liposculpture. When complications do occur, revisions are indeed possible with aesthetically pleasing results.
腹壁成形术目前是美国最常被要求实施的美容手术之一。关于因腹壁成形术并发症导致皮瓣坏死而出现皮肤缺失后的矫正措施的文献有限。
一名53岁女性因在我们中心进行的腹壁成形术出现坏死并发症导致皮肤缺失，接受了大片中厚皮片移植。患者因腹部畸形，包括脐部缺失，遭受情绪压力。
患者术后恢复良好。她需要进行两次手术——初次手术包括切除皮片并用患者自身的全厚皮肤和组织进行缝合。六个月后进行的第二次手术包括用一小圈皮肤制作脐蒂。
腹壁成形术尽管是出于美容目的，但确实是一项大手术，尤其在激进的脂肪雕塑时可能导致并发症。当并发症确实发生时，进行修复手术确实是可行的，并且能取得美观的效果。
