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- W1578022010 abstract "Amac : Abdominoplasti sonrasi en sik gorulen lokal komplikasyonlar, flep nekrozu, hipertrofik skar gelisimi, seroma ve hematom olusumudur. Gerginlik azaltici dikisler, abdominoplasti sonrasi lokal komplikasyonlarin azaltilmasi icin tanimlanmistir. Bu calismada, abdominoplasti uygulamalarinda gerginlik azaltici dikislerin kullanimi ile ilgili deneyimlerimizi aktarmayi amacladik. Yontemler : Calismaya abdominoplasti ameliyati uygulanan 19 kadin hasta dahil edildi. Hastalarin ortalama yasi 42 (35-59) idi. Tum olgularda, abdominoplasti flebi ilerletilirken derin ve yuzeysel fasya arasina gerginlik azaltici dikisler uygulandi. Bulgular : Ortalama takip suresi 11 (6-26) aydi. Hastalarin hicbirinde hipertrofik skar, flep nekrozu, enfeksiyon, seroma veya hematom gelismedi. Bir hastada (%5) orta hatta lokalize minimal yag nekrozu, bir baska hastada (%5) ise pulmoner emboli meydana geldi. Her iki hasta da sorunsuz olarak iyilesti. Sonuc : Gerginlik azaltici dikisler, flep distalinde olusabilecek iskemiyi azaltarak flep nekrozu ve hipertrofik skar olusumunu azaltmaktadir. Ayrica olu bosluk miktarini azaltarak, seroma veya hematom olusma riskini azaltmaktadir. Sonuc olarak, ameliyatin normal suresinde bir miktar uzamaya neden olsa da, abdominoplasti olgularinda lokal komplikasyonlari azaltmak icin kullanilabilecek bir yontemdir. Anahtar Kelimeler: Gerginlik azaltici dikisler, abdominoplasti, komplikasyon Our Experience in Progressive Tension Sutures in Abdominoplasty Objective: The most common local complications following abdominoplasty are flap necrosis, hypertrophic scar formation, seroma, and hematoma. Progressive tension sutures were introduced in order to decrease the local complications. In this study, we present our experience in progressive tension sutures in abdominoplasty patients. Methods: Nineteen female abdominoplasty patients were included in this study. The mean age was 42 years (35-59). The progressive tension sutures were placed from the superficial fascia to the deep fascia as the flap was advanced. Results: The mean follow-up was 11 (6-26) months. No hypertrophic scar formation, flap necrosis, infection, seroma, or hematoma developed. Minimal localized fat necrosis in 1 patient (5%) and pulmonary embolus in 1 patient (5%) occurred. Both patients healed uneventfully. Conclusion: The progressive tension sutures decrease flap necrosis and hypertrophic scarring by preserving the distal flap perfusion. Additionally, it reduces seroma and hematoma formation by reducing the dead space volume. In conclusion, although increasing the operation time, it may be a useful method for decreasing local complications. Key Words: Progressive tension sutures, abdominoplasty, complication" @default.
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- W1578022010 date "2012-12-01" @default.
- W1578022010 modified "2023-10-17" @default.
- W1578022010 title "Our Experience in Progressive Tension Sutures in Abdominoplasty" @default.
- W1578022010 doi "https://doi.org/10.5152/gmj.2012.23" @default.
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