Abdominal wall surgery

The main signs indicating abdominal wall deformation are:

  • excess of subcutaneous fat or skin,
  • stretched muscular-fascial system,
  • stretched skin, or postoperative scars and scars.

Indications for surgical intervention.

An increase in the volume of the abdominal cavity that occurs with excess weight or as a result of pregnancy can lead to horizontal and vertical stretching of the muscular-fascial layer of the abdominal wall and to stretching the skin of the abdomen. When losing weight and in the postpartum period, these changes return to their original state, but very often the reverse process does not always reach the initial values. Here, not the least role is played by the personal characteristics of each organism, or rather, the extensibility and contractility of tissues.
main signs indicating insufficient elasticity ventral are wall:

  • presence and degree of stretching or falling soft tissues, also called ptosis,
  • thickness of subcutaneous fat,
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  • degree of divergence recti,
  • common skin condition, the presence of stretch marks, post-surgical scars, Flabbiness,
  • and also the presence of an umbilical hernia.

It should be noted that a very important indicator of the condition of abdominal plastic is the presence of ptosis and its degree. There are four degrees of ptosis of soft tissues, depending on which determine what kind of plastic to apply.

  1. - I have a degree. Moderate stretching of the skin, mainly in the hypogastric region of the abdominal cavity. In this case, indications to plastic may be the presence of stretch marks.
  2. - th degree. Noticeable flabbiness of the skin and the presence of a not very large dermal fatty fold( not an "apron").This situation can also be carried out of the abdominal wall of plastic, but it is likely to offset skin - the layer of fat that gives some kind of difficulty surgeon.
  3. - th degree. This includes situations in which there is a so-called."Apron" with a width of up to 10 cm, located on the front wall, with a slight transition to the side surfaces.
  4. - th degree. To this situation are cases in which the skin - fat fold exceeds 10 cm and extends beyond the lateral surfaces of the body.

At the 3rd and 4th degree of ptosis, patients are shown surgical intervention.

addition, should take into account that the thickness of the subcutaneous fat may depend not only on aesthetic appeal of the body, but also the risk of all sorts of complications, such as gray.

The likelihood of complications depends on the thickness of the subcutaneous fat layer.

identifies the following series of indications for plastic surgery of the abdominal wall:

  1. the presence of stretch marks on the skin of the abdomen, combined for frequent skin laxity,
  2. presence at the bottom of the outer abdominal wall of skin - fat folds, also called 'apron ยป,
  3. sizeable discrepancy rectus abdominusMuscle,
  4. umbilical hernia, accompanied by flaccidity of the abdominal skin,
  5. marked postoperative scars and scars.

addition, there are also a number of contraindications for such operations:

  • presence on the anterior abdominal wall postoperative scars, which are located above the navel, if there is a likelihood of appreciable effect on the blood supply to cut out at step portions,
  • excess thickness of subcutaneous fat, this fact canAffect the development of complications after surgery.

Along with all the above release factors that may just "nullify" all the results of such an operation:

  • intention of the patient to sit on a diet to follow a weight loss, resulting in degraded operation results,
  • possibility of subsequent pregnancy,
  • presence in a patient of common diseases.

Factors positively affecting the outcome of the operation.

After carrying out the necessary number of examinations, obtaining the results of all the tests taken, the surgeon agreed or recognized the need to perform an operation - the abdominal wall plastic of the cavity. But before it takes place, there is some time for preoperative preparation, which is necessary for the preparation of the patient.

This preparation implies the following:

  • approximately two weeks before the operation, patients are not allowed to take any medications containing acetylsalicylic acid,
  • two days before the surgery the patient adheres to the water diet,
  • in the evening before the day of surgery in the morning when the operation will beIs carried out, the patient is given a cleansing enema.

The end result of the operation also depends on some circumstances:

  • The proportionality of the patient's expectations with real factors that depend on the degree of ptosis, and on the patient's composition.
  • Strict adherence to the patient postoperative treatment, it must be taken into account that all at once does not happen, the end result of this kind of intervention can be seen and evaluated after a while, which will go to healing postoperative scars on external and internal tissues. During this period, the patient must protect himself from physical stress, related to both household chores and work, otherwise complications may arise.
  • Stability of body weight, it is under this condition that the result of the operation will be optimal. Often patients reach acceptable body weight during the preparation for surgery, but it should be borne in mind that further sharp fluctuations in body weight can adversely affect the results of surgery.
  • The state of health is the most important factor influencing the doctor's decision about the advisability of surgical intervention.