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Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report
INTRODUCTION: Massive weight loss patients have a midline excess of abdominal adipose and skin tissue that contributes to an increased abdominal girth. This excess of tissue in these patients is not resolved with traditional techniques of abdominoplasty and usually the fleur-de-lis abdominoplasty te...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276170/ https://www.ncbi.nlm.nih.gov/pubmed/35583525 http://dx.doi.org/10.1097/MD.0000000000029115 |
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author | Savva, Demetris Nittari, Giulio Gibelli, Filippo Vassiliou, Andreas |
author_facet | Savva, Demetris Nittari, Giulio Gibelli, Filippo Vassiliou, Andreas |
author_sort | Savva, Demetris |
collection | PubMed |
description | INTRODUCTION: Massive weight loss patients have a midline excess of abdominal adipose and skin tissue that contributes to an increased abdominal girth. This excess of tissue in these patients is not resolved with traditional techniques of abdominoplasty and usually the fleur-de-lis abdominoplasty technique is employed. PATIENT CONCERNS: A 22-year-old male patient came to our clinic after a massive weight loss of 170 kg, requesting an abdominoplasty for the excess adipose and skin tissue. DIAGNOSIS: Massive weight loss patient, with excess of adipose and skin tissue in the midline abdominal area. INTERVENTIONS: Fleur-de-lis abdominoplasty technique was employed for treatment of massive weight loss. OUTCOMES: During the surgery, it was decided that the umbilicus blood supply via the inferior epigastric artery and median umbilical ligament needed to be ligated, to remove more tissue for better aesthetic result. The umbilicus survived on the collateral blood supply from ligamentum teres and superior epigastric collaterals. CONCLUSION/LESSONS: In this case report we review our experience treating a massive weight loss patient using a fleur-de-lis abdominoplasty technique without preserving the umbilicus blood supply via the inferior epigastric artery and median umbilical ligament. We eventually relied on the collateral blood supply from ligamentum teres and superior epigastric collaterals, something that proved advantageous both in the survival of the umbilicus on the long run despite cutting off the main blood supply, and, the removal of further excess adipocutaneous tissue for a better aesthetic outcome. |
format | Online Article Text |
id | pubmed-9276170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-92761702022-07-13 Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report Savva, Demetris Nittari, Giulio Gibelli, Filippo Vassiliou, Andreas Medicine (Baltimore) 7100 INTRODUCTION: Massive weight loss patients have a midline excess of abdominal adipose and skin tissue that contributes to an increased abdominal girth. This excess of tissue in these patients is not resolved with traditional techniques of abdominoplasty and usually the fleur-de-lis abdominoplasty technique is employed. PATIENT CONCERNS: A 22-year-old male patient came to our clinic after a massive weight loss of 170 kg, requesting an abdominoplasty for the excess adipose and skin tissue. DIAGNOSIS: Massive weight loss patient, with excess of adipose and skin tissue in the midline abdominal area. INTERVENTIONS: Fleur-de-lis abdominoplasty technique was employed for treatment of massive weight loss. OUTCOMES: During the surgery, it was decided that the umbilicus blood supply via the inferior epigastric artery and median umbilical ligament needed to be ligated, to remove more tissue for better aesthetic result. The umbilicus survived on the collateral blood supply from ligamentum teres and superior epigastric collaterals. CONCLUSION/LESSONS: In this case report we review our experience treating a massive weight loss patient using a fleur-de-lis abdominoplasty technique without preserving the umbilicus blood supply via the inferior epigastric artery and median umbilical ligament. We eventually relied on the collateral blood supply from ligamentum teres and superior epigastric collaterals, something that proved advantageous both in the survival of the umbilicus on the long run despite cutting off the main blood supply, and, the removal of further excess adipocutaneous tissue for a better aesthetic outcome. Lippincott Williams & Wilkins 2022-05-20 /pmc/articles/PMC9276170/ /pubmed/35583525 http://dx.doi.org/10.1097/MD.0000000000029115 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 7100 Savva, Demetris Nittari, Giulio Gibelli, Filippo Vassiliou, Andreas Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report |
title | Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report |
title_full | Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report |
title_fullStr | Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report |
title_full_unstemmed | Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report |
title_short | Survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: A case report |
title_sort | survival of umbilicus on a superiorly based flap after fleur-de-lis abdominoplasty: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9276170/ https://www.ncbi.nlm.nih.gov/pubmed/35583525 http://dx.doi.org/10.1097/MD.0000000000029115 |
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