From the Division of Plastic Surgery, Department of Surgery, Massachusetts General Hospital; and Harvard Medical School.
Plast Reconstr Surg. 2021 Apr 1;147(4):860-863. doi: 10.1097/PRS.0000000000007768.
Abdominoplasty is among the most commonly performed aesthetic operations and is frequently combined with rectus abdominis musculoaponeurotic plication of rectus diastasis and repair of umbilical and ventral hernias. The authors present a spare parts technique to assist in reinforcement of both rectus diastasis plication and hernia repair during abdominoplasty operations using an autodermis onlay reinforcement graft. The graft is harvested from the excess abdominal pannus normally discarded during abdominoplasty and is inset on tension between the bilateral semilunar lines and plicated along a concave "corset" contour. This reduces distracting forces on the hernia and diastasis repairs and further augments abdominal contour. This technique has been performed for 8 years on 82 low-surgical-risk patients, without any noted increase in complications. The corset autodermis external obliqueplasty is a spare parts technique that may reduce recurrence of rectus diastasis and abdominal hernias repaired at the time of abdominoplasty and is an alternative strategy to mesh placement in this risk-averse aesthetic surgery population.
腹部整形术是最常见的美容手术之一，通常与腹直肌筋膜折叠术、腹直肌分离修复和脐疝及腹疝修复联合进行。作者提出了一种备用技术，使用自体真皮补片加强腹部整形术中的腹直肌分离折叠和疝修复。该补片取自腹部整形术中通常丢弃的多余腹部赘肉，在双侧半月线之间的张力下插入，并沿着凹形“紧身胸衣”轮廓折叠。这减少了疝和分离修复的分散力，并进一步增强了腹部轮廓。该技术已在 82 例低手术风险患者中进行了 8 年，没有任何并发症增加的迹象。紧身胸衣自体真皮外侧腱膜成形术是一种备用技术，可降低腹部整形术中修复的腹直肌分离和腹部疝的复发率，是这种规避风险的美容手术人群中放置网片的替代策略。
