di Diego Juan M
Department of Plastic Surgery, Center for Aesthetic Nutrition and Physical Recovery (CRENYF) Medical Center, Buenos Aires, Argentina.
Plast Reconstr Surg Glob Open. 2021 Jan 26;9(1):e3346. doi: 10.1097/GOX.0000000000003346. eCollection 2021 Jan.
Endoscopic lipoabdominoplasty is the surgical technique utilizing endoscopy, as in a conventional abdominoplasty, to repair acquired abdominal wall defects, such as diastasis recti or ventral hernias. A conventional liposuction is carried out through 4 ports, which shall be used later to place the laparoscopic trocars for fat removal and supra-aponeurotic undermining. Three trocars are introduced through these ports, one for the camera and the others to introduce surgical instruments. A CO2 insufflation is carried out; the supra-aponeurotic space is undermined up to the xiphoid process. Then a rectus muscle plication is carried out with slow-absorbing sutures in 2 or 3 sections. Two Jackson Pratt drains are placed, and the incisions are closed. The objective of this article is to describe the technique and establish the necessary safety criteria to obtain good results in patients with minimal skin laxity, with moderate fat tissue distribution, with musculofascial diastasis, with ventral hernias, and who do not need or do not accept a visible surgical scar.
内镜腹壁成形术是一种手术技术，它如同传统腹壁成形术一样利用内镜来修复后天性腹壁缺损，如腹直肌分离或腹疝。常规抽脂通过4个切口进行，这些切口稍后将用于置入腹腔镜套管针以进行脂肪抽吸和腱膜上剥离。通过这些切口插入3个套管针，一个用于摄像头，其他用于插入手术器械。进行二氧化碳气腹；腱膜上间隙向上剥离至剑突。然后用可缓慢吸收的缝线在2或3处对腹直肌进行折叠缝合。放置两根杰克逊·普拉特引流管，然后关闭切口。本文的目的是描述该技术，并确立必要的安全标准，以便在皮肤松弛度最小、脂肪组织分布适中、存在肌筋膜分离、患有腹疝且不需要或不接受明显手术瘢痕的患者中取得良好效果。
