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العنوان
Abdominoplasty in patients with previous abdominal surgery,
الناشر
Ain shams University. Faculty of Medicine. Department of general surgery,
المؤلف
Mohamed, Mohamed Abd El-Salam Ahmed
هيئة الاعداد
مشرف / Mohamed Abd El-Salam Ahmed Mohamed
مشرف / Sayed Mohamed Rashad
مشرف / Ahmed Salah El-Din El-Badawi
مشرف / Mohamed Ahmed Mahmoud Aamer
تاريخ النشر
2008 .
عدد الصفحات
184 p.
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2008
مكان الإجازة
اتحاد مكتبات الجامعات المصرية - general surgery
الفهرس
Only 14 pages are availabe for public view

from 204

from 204

Abstract

Abdominoplasty is a common procedure within plastic surgery; it aims to reshape the abdominal wall by combining skin and subcutaneous tissue resection with musculoaponeurotic reinforcement. The presence of infraumbilical scar don’t present a problem as it will be excised with the excess ellipse, but supraumbilical (vertical, oblique or transverse) scars must always be considered in patients for whom an abdominoplasty is planned, and various techniques are described to treat these cases. Limited abdominoplasty of the low transverse type with limited undermining only up to the level of the umbilicus is performed in order not to compromise blood supply in the zone between the old transverse and the new transverse scar.
Limited undermined of the flap in an inverted-V fashion, preserving the intercostals blood supply and elevating the flap only to the degree necessary to achieve wound closure without tension and repair of the diastasis. Discontinuous undermining by dissecting the supraumbilical flap by liposuction is described to improve flap perfusion. Progressive tension sutures or Quilting sutures better to performed when there is large dead space or at high risk patients.