An aesthetic classification of the abdomen based on the myoaponeurotic layer.

作者: Alex Margulis , Michael Icekson , Rephael Zeltser , Arieh Eldad , Oded Nahlieli

DOI: 10.1097/00006534-200111000-00057

关键词: External Oblique MuscleAbdominal wallAponeurosisAbdominoplastyDiastasisAbdomenDiastasis rectiSurgeryPopulationMedicineAnatomy

摘要: An objective classification for abdominoplasty based on myoaponeurotic deformities is described. Types A, B, C, and D correspond to different deformities. Patients with type A display rectus diastasis secondary pregnancy, plication of the anterior sheath indicated. B present laxity lateral inferior areas abdominal wall after approximation sheaths. L-shaped external oblique aponeurosis performed in addition correction diastasis. C are those whose muscles laterally inserted costal margins. Release undermining from their posterior advancement these muscles, attached sheath, procedure choice cases. a poor waistline definition; muscle rotation associated used correct this deformity. Eighty-eight patients who underwent were reviewed, incidence each deformity was determined population. This study presents practical that permits plastic surgeon critically evaluate which best option considering specific weakness.

参考文章(25)
S. T. Hamra, Repositioning the lateral alar crus. Plastic and Reconstructive Surgery. ,vol. 92, pp. 1244- 1253 ,(1993)
Fabio Xerfan Nahas, Susy Muszkat Augusto, Charles Ghelfond, Nylon versus polydioxanone in the correction of rectus diastasis. Plastic and Reconstructive Surgery. ,vol. 107, pp. 700- 706 ,(2001) , 10.1097/00006534-200103000-00008
Fabio Xerfan Nahas, Jorge Ishida, Rolf Gemperli, Marcus Castro Ferreira, Abdominal wall closure after selective aponeurotic incision and undermining. Annals of Plastic Surgery. ,vol. 41, pp. 606- 617 ,(1998) , 10.1097/00000637-199812000-00005
Mark L. Zukowski, Keith Ash, David Spencer, Michael Malanoski, Glen Moore, Endoscopic intracorporal abdominoplasty: a review of 85 cases. Plastic and Reconstructive Surgery. ,vol. 102, pp. 516- 527 ,(1998) , 10.1097/00006534-199808000-00037
Fabio Xerfan Nahas, How to deal with the umbilical stalk during abdominoplasty. Plastic and Reconstructive Surgery. ,vol. 106, pp. 1220- 1221 ,(2000) , 10.1097/00006534-200010000-00055
Ted Lockwood, Is the standard abdominoplasty obsolete? Operative Techniques in Plastic and Reconstructive Surgery. ,vol. 3, pp. 77- 81 ,(1996) , 10.1016/S1071-0949(96)80055-2
Leonard F. Menczer, Peter H. Jacobsohn, Dr Horace Wells: the discoverer of general anesthesia. Journal of Oral and Maxillofacial Surgery. ,vol. 50, pp. 506- 509 ,(1992) , 10.1016/S0278-2391(10)80325-8
Sam T. Hamra, Crushed Cartilage Grafts over Alar Dome Reduction in Open Rhinoplasty Plastic and Reconstructive Surgery. ,vol. 92, pp. 352- 356 ,(1993) , 10.1097/00006534-199308000-00026
Erdulfo Appiani, Muscular plastic for aesthetic conformation of abdominal girdle. Annals of Plastic Surgery. ,vol. 13, pp. 97- 106 ,(1984) , 10.1097/00000637-198408000-00002