Alves André S, Martineau Jérôme, Dupuis Arnaud, Zuo Katie, Kalbermatten Daniel F, Oranges Carlo M
From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Geneva University Hospitals, Geneva University, Geneva, Switzerland.
Department of Visceral Surgery, Geneva University Hospital, Geneva University, Geneva, Switzerland.
Plast Reconstr Surg Glob Open. 2023 Sep 29;11(9):e5297. doi: 10.1097/GOX.0000000000005297. eCollection 2023 Sep.
Abdominoplasty and its different approaches have been widely described to improve abdominal wall contour. However, the role of reverse abdominoplasty, a less commonly performed technique, and its indications are not fully understood. Recent advances in the understanding of the vascular supply to the anterior abdominal wall have made this technique more popular, but there is still limited information available in the literature. In this report, we present the case of a 52-year-old woman who underwent a reverse abdominoplasty using an existing subcostal scar from a previous nephrectomy. No surgical complications were observed, and the patient achieved both aesthetic and functional improvement after 6 months of follow-up. Reverse abdominoplasty can be a reliable option for maintaining adequate blood supply and achieving a satisfactory cosmetic result in cases where there is a pre-existing subcostal scar.
腹壁整形术及其不同的手术方法已被广泛描述，用于改善腹壁外形。然而，反向腹壁整形术这种较少施行的技术的作用及其适应症尚未得到充分理解。在对前腹壁血供认识方面的最新进展使这项技术更受欢迎，但文献中可用的信息仍然有限。在本报告中，我们介绍了一名52岁女性的病例，她利用先前肾切除术留下的肋下瘢痕进行了反向腹壁整形术。未观察到手术并发症，随访6个月后患者在美观和功能方面均有改善。对于存在既往肋下瘢痕的病例，反向腹壁整形术可以是维持充足血供并获得满意美容效果的可靠选择。
