Anterior Abdominal Dermolipectomy: Epidemiological and Clinical Profile (About 50 Cases) (original) (raw)

Introduction: the demand for abdominoplasty is increasing. It is a set of surgical procedures aimed at improving the abdominal wall for aesthetic and/or functional purposes. The aim of this work is to highlight the epidemiological and clinical profile of patients who are candidates for abdominoplasty and to evaluate the therapeutic results as well as the complications of the technique of lower transverse abdominal dermolipectomy with transposition of the umbilicus. Materials and Methods: Fifty lower transverse abdominoplasties with transposition of the umbilicus, associated or not with liposuction, were performed between June 2016 and September 2018 in the plastic surgery department of the Military Hospital of Meknes. Results: Forty-seven women and three men were counted. The mean age was 42 years. The majority of our patients were overweight (88%). All of our patients underwent a transverse low abdominoplasty with umbilicus transposition. Associated liposuction was performed in 36 patients (72%), and muscle plasty in 30 cases. A two-sided plaque was placed in the 4 cases of eventration. The frequency of immediate postoperative complications was 22% in our series. Hematomas requiring revision surgery (8%) and infection (4%) were the most frequent major complications. Discussion: Recent advances in abdominal plastic surgery currently allow satisfactory management of patients who come to consult for weight loss, pregnancy or aesthetic concerns. The technique of low transverse abdominoplasty with transposition of the umbilicus has become perfectly standardised, but it should not be forgotten that it is not devoid of risks. The knowledge and management of possible complications are as important as the surgery itself.