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Changes in the Pattern of Superficial Lymphatic Drainage of the Abdomen after Abdominoplasty.
Bassalobre, Milena; Liebano, Richard Eloin; da Silva, Milla Pompilio; Castiglioni, Mário Luiz Vieira; Sadala, Adria Yared; Ferreira, Lydia Masako; Nahas, Fabio Xerfan.
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  • Bassalobre M; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
  • Liebano RE; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
  • da Silva MP; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
  • Castiglioni MLV; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
  • Sadala AY; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
  • Ferreira LM; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
  • Nahas FX; From the Division of Plastic Surgery, Federal University of São Paulo; and Department of Physical Therapy, Federal University of São Carlos.
Plast Reconstr Surg ; 149(6): 1106e-1113e, 2022 06 01.
Article en En | MEDLINE | ID: mdl-35383695
BACKGROUND: The changes in the pattern of lymphatic drainage of the superficial abdominal wall after abdominoplasty are still unknown. These changes may increase the risk of numerous complications, including seroma formation. Depending on the alterations, the manual lymphatic drainage technique should be modified in postoperative patients. The aim of this study was to map the pattern of lymphatic drainage of the superficial infraumbilical abdominal wall after abdominoplasty. METHODS: Twenty women with indications for abdominoplasty were selected in the Plastic Surgery Division of the Federal University of São Paulo. Intradermal lymphoscintigraphy with dextran 500-99m-technetium was performed in 20 female patients in the preoperative phase and 1 and 6 months after abdominoplasty to evaluate superficial lymphatic drainage of the abdominal wall. RESULTS: Before surgery, all patients presented with abdominal lymphatic drainage toward the inguinal lymph nodes. One and 6 months after abdominoplasty, only 15 percent exhibited the same drainage pathway. Drainage toward the axillary lymph node chain occurred in 65 percent of the patients, 10 percent displayed a drainage pathway toward both the axillary and inguinal lymph nodes, and lymphatic drainage was indeterminate in 10 percent of the cases. CONCLUSIONS: A significant change in lymphatic drainage pathway occurred in the infraumbilical region after abdominoplasty. The axillary drainage path was predominant after the operation, in contrast to the inguinal path observed in the preoperative period. However, 35 percent of cases exhibited alternative drainage. No significant changes were documented between 1 and 6 months postoperatively. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pared Abdominal / Abdominoplastia Tipo de estudio: Guideline Límite: Female / Humans Idioma: En Revista: Plast Reconstr Surg Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pared Abdominal / Abdominoplastia Tipo de estudio: Guideline Límite: Female / Humans Idioma: En Revista: Plast Reconstr Surg Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos