Avilez Jesua Emmanuel, Noriega Daniel Rodolfo, Martínez Cesar Edwin, Quisilema Jonathan Mauricio
From the NipTuck Plastic Surgery Clinic, Mexico City, Mexico.
Plastic Surgery Service, University Hospital Miguel Enriquez, Havana, Cuba.
Plast Reconstr Surg Glob Open. 2025 Jan 30;13(1):e6464. doi: 10.1097/GOX.0000000000006464. eCollection 2025 Jan.
An attractive waist-hip ratio leads to a favorable aesthetic appearance in women and can be achieved through the (ORUS) technique, which consists of the controlled fracture of the floating ribs through a small incision in the back based on an umbrella's functioning (open-semiclosed).
The ORUS technique was performed on 120 patients between 18 and 50 years of age. Patients were grouped according to the surgical procedure performed: ORUS (11 patients), ORUS + liposuction (n = 87), and ORUS + abdominoplasty (n = 22). Demographic and clinical preoperative and postoperative data were recorded in all patients included. Measurements of waist-hip index and body mass index were done in centimeters, and at 90 days, a computed tomography with 3-dimensional reconstruction was indicated.
The surgery time depended on the procedure and varied from 30 minutes in the ORUS procedure to 180 minutes when it was combined with an abdominoplasty. A waist reduction was achieved with median preoperative measurements ranging from 89.0-110.0 to 65.0-69.0 cm depending on the procedure. The size of the incision did not exceed 1.2 cm, and only 2 patients had symptomatic atelectasis. The median total Body-QoL score ranged between 97 and 99 points from a maximum of 100 points.
The proposed ORUS technique achieved a waist and waist-hip index reduction with minor complications, a minimum scar, and a high satisfaction level.
具有吸引力的腰臀比能让女性拥有良好的美学外观，可通过肋骨撑开术（ORUS）实现，该技术基于雨伞的功能（开放 - 半封闭），通过背部的小切口对浮肋进行可控骨折。
对120例年龄在18至50岁之间的患者实施了ORUS技术。根据所进行的手术程序对患者进行分组：ORUS组（11例患者）、ORUS + 抽脂组（n = 87）和ORUS + 腹部整形组（n = 22）。记录所有纳入患者术前和术后的人口统计学及临床数据。腰臀指数和体重指数的测量以厘米为单位，在90天时，进行三维重建的计算机断层扫描。
手术时间取决于手术程序，从ORUS手术的30分钟到与腹部整形联合时的180分钟不等。根据手术程序，术前腰围中位数从89.0 - 110.0厘米减至65.0 - 69.0厘米。切口大小不超过1.2厘米，仅有2例患者出现有症状的肺不张。总体生活质量（Body - QoL）评分中位数在97至99分之间（满分100分）。
所提出的ORUS技术实现了腰围和腰臀指数的降低，并发症少，疤痕最小，满意度高。
