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ISSN 1029-3035 (Electronic)

2023, Number 1

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Mediciego 2023; 29 (1)

Clinical changes in relation to post-abdominoplasty intra-abdominal pressure

Moya-Rosa EJ, Moya-Corrales Y, Najara-Pérez JC

Language: Spanish
References: 25
Page:
PDF size: 418.96 Kb.


ABSTRACT

Introduction: changes in intra-abdominal pressure can cause alterations in patients undergoing abdominal dermolipectomy.
Objective: to describe the clinical changes related to intra-abdominal pressure in patients undergoing dermolipectomy.
Methods: cross-sectional descriptive study. The universe consisted of 33 patients who underwent dermolipectomy in the Plastic Surgery service of the Manuel Ascunce Domenech University Hospital in Camagüey from January 2018 to April 2020. Intra-abdominal pressure was estimated according to the number of centimeters plicate to the abdominal wall, changes in respiratory and heart rate, and also according to the use of the abdominal binder.
Results: Most patients with grade I intra-abdominal pressure had between eight and 10 cm of the rectus abdominis plicate. Of the 17 patients who presented grade I intra-abdominal pressure, eight had a respiratory rate between 17 to 21 breaths per minute. Only two patients showed heart rates of 100 or more beats per minute. The number of patients with Grade I and II intra-abdominal pressure increased in the postoperative period, with the use of the abdominal binder.
Conclusions: no considerable increase in respiratory and heart rate was observed in relation to intra-abdominal pressure levels. The abdominal binder caused an increase in intra-abdominal pressure levels in the majority of patients.


REFERENCES

  1. Liranzo-Suero HA. Caracterización de la abdominoplastia con técnica de decolado mínimo y tunelización central en mujeres obesas. [Tesis]. Camagüey: Universidad de Ciencias Médicas de Camagüey; 2020.

  2. Sinder R. Historical evolution of abdominoplasty. En: Avelar JM. New Concepts on Abdominoplasty and Further Applications [Internet]. Sao Pablo: Springer; 2016 [citado 11 Jul 2020] p. 417-40. Disponible en: https://books.google.com.cu/books?hl=es&lr=&id=QVAiDQAAQBAJ&oi=fnd&pg=PR8&ots=Tyf5JfAIYJ&sig=VvAt6KX1A-vVmrh1GTrH8pzc3sI&redir_esc=y#v=onepage&q&f=false

  3. Avelar JM. New Concepts in Abdominoplasty: Origin and Evolution. En: Avelar JM. New Concepts on Abdominoplasty and Further Applications [Internet]. Sao Pablo: Springer; 2016 [citado 11 Jul 2020]. p. 3-18. Disponible en: https://books.google.com.cu/books?hl=es&lr=&id=QVAiDQAAQBAJ&oi=fnd&pg=PR8&ots=Tyf5JfAIYJ&sig=VvAt6KX1A-vVmrh1GTrH8pzc3sI&redir_esc=y#v=onepage&q&f=false

  4. Pereira N, Sciaraffia C, Danilla S, Parada F, Asfora C, Moral C. Effects of abdominoplasty on intra-abdominal pressure and pulmonary function. Aesthet. Plast. Surg. [Internet]. 2016 [citado 9 Nov 2017];36(6):697-702. Disponible en: https://academic.oup.com/asj/article/36/6/697/2664473

  5. Rodríguez MA, Nahas FX, Reis RP, Ferreira LM. Does diastasis width influence the variation of the intra-abdominal pressure after correction of rectus diastasis? Aesthet. Plast. Surg. [Internet]. 2015 [citado 9 Nov 2017];35(5):583-8. Disponible en: https://academic.oup.com/asj/article/35/5/583/239559

  6. Camacho-Marente V, Tallón-Aguilar L, Sánchez-Arteaga A, Aparicio-Sánchez D, Tinoco-González J, Durán-Muñoz Cruzado VM, et al. Cirugía de control de daños en paciente no politraumatizado. Cir. Andal. [Internet]. 2019 [citado 20 Jul 2020];30(1):101-6. Disponible en: https://www.asacirujanos.com/admin/upfiles/revista/2019/Cir_Andal_vol30_n1_16.pdf

  7. Rogers WK, Garcia L. Intra-Abdominal Hypertension, Abdominal Compartment Syndrome, and the Open Abdomen. Chest [Internet]. 2018 [citado 18 Jul 2020];153(1):238-250. Disponible en : http://www.jvsmedicscorner.com/Surgery_files/Intraabdominal%20Hypertension,%20Abdominal%20Compartment%20Syndrome,%20and%20the%20Open%20Abdomen%20Review%202018%20copy.pdf

  8. Pérez-Ponce LJ, Barletta-Farías RC, Castro-Vega G, Barletta-Farías JB, Castillo-Franco F, Barletta- del Castillo JM. Mecanismos fisiopatológicos implicados en el síndrome compartimental abdominal. Rev. Finlay [Internet]. 2018 [citado 20 Jul 2020];8(1):[aprox. 2 p.]. Disponible en: https://www.medigraphic.com/pdfs/finlay/fi-2018/fi181f.pdf

  9. Zúñiga VA. Síndrome Compartimental Abdominal. Rev. Med. Costa Rica Centroam [Internet]. 2013 [citado 03 Mar 2018];LXX(605):[aprox. 5 p]. Disponible en: https://www.medigraphic.com/pdfs/revmedcoscen/rmc-2013/rmc131j.pdf

  10. 10.Vargas-Oliva JM, Arias-Aliaga A. Hipertensión intrabdominal y síndrome compartimental abdominal. Aspectos de interés actual. Multimed [Internet]. 2018 [citado 17 May 2020];22(5):[aprox. 14 p.]. Disponible en: https://www.medigraphic.com/pdfs/multimed/mul-2018/mul185n.pdf

  11. Carr JA. Abdominal compartment syndrome: a decade of progress. J Am Coll Surg [Internet]. 2016 [citado 18 Jul 2020];216(1):135-46. Disponible en: https://cbc.org.br/wp-content/uploads/2013/07/042013JACS.pdf

  12. Asociación Médica Mundial. Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. Ratificada en la 64ª Asamblea General, Fortaleza, Brasil, octubre 2013. Helsinki: 18ª Asamblea Mundial; 1964 [citado18 Jul 2020]. Disponible en: http://www.anmat.gov.ar/comunicados/HELSINSKI_2013.pdf

  13. Mercedes S, Núñez M, Díaz O, De la Cruz E, Aquino A. Variabilidad de la presión intrabdominal en pacientes sometidos a abdominoplastia. Cir. plást. iberolatinoam [Internet]. 2009 [citado 20 Jul 2020]35(4):261-270. Disponible en: https://scielo.isciii.es/pdf/cpil/v35n4/original3.pdf

  14. Reynosa-Aguilar Y, Elías-Armas KS, Vega-Puentes JO, Fernández-Llombar JO, Céspedes-Perañas V. Hipertensión intraabdominal y síndrome compartimental abdominal en el paciente grave. Rev. inf. cient. [Internet]. 2020 [citado 23 Jul 2020]99(1):78-88. Disponible: http://scielo.sld.cu/pdf/ric/v99n1/1028-9933-ric-99-01-78.pdf

  15. Bajaj AK. Commentary on: Effects of Abdominoplasty on Intra-Abdominal Pressure and Pulmonary Function. Aesthet. Plast. Surg. [Internet] 2016 [citado 22 jul 2020];36(6):703-4. Disponible en: https://academic.oup.com/asj/article/36/6/703/2664482

  16. Marín-Valladolid JA, Saucedo-Ortíz JA, Fuentes-Orozco C, López-Pérez S, Segura-Castillo JL, López-Ortega A, et al. Variación de la presión intraabdominal causada por Abdominoplastia en mujeres sanas. Rev Gastroenterol Mex. 2004; 69(3):156-61.

  17. Scarafoni EE, Pomerane AL, Sereday CE. Estado del arte de la plicatura de rectos. Rev Arg Cir Plást [Internet]. 2020 [citado 18 Ago 2020];26(1):23-30. Disponible en: http://adm.meducatium.com.ar/contenido/articulos/22600230030_1664/pdf/22600230030.pdf

  18. Al Basti HB, El Khatib HA, Taha A, Sattar HA, Bener A. Intraabdominal pressure after full abdominoplasty in obese multiparous patients. Plast Reconstr Surg. [Internet]. 2004 [citado 18 Ago 2020];113(7):2145-50. Disponible en:https://journals.lww.com/plasreconsurg/Abstract/2004/06000/Intraabdominal_Pressure_after_Full_Abdominoplasty.42.aspx

  19. Vaca-Escobar B, Guerra-Navarrete D, Manzano-Manzano R. Cambios respiratorios post-abdominoplastia. Cir. plást. iberolatinoam [Internet]. 2007 [citado 22 jul 2020];33(1):[aprox. 10 p]. Disponible en: https://scielo.isciii.es/pdf/cpil/v33n1/original8.pdf

  20. Silva-Sánchez L, Rodríguez-Zamorano DL, Elizalde-Flores F, Rendón-Macías ME. Correlación de la medición directa de la presión intraabdominal y la presión programada de insuflación de CO 2 en cirugía laparoscópica. Acta méd. Mex [Internet]. 2017 [citado 22 jul 2020];15(3):194-99. Disponible en: https://www.medigraphic.com/pdfs/actmed/am-2017/am173e.pdf

  21. Nunes-Da Costa J, Matias J. Analysis of Extended Deep Fat Pad Excision in Abdominoplasty. Annals of plastic surgery [Internet]. 2017 [citado 19 Abr 2020];78(1):12-6. Disponible en: http://journals.lww.com/annalsplasticsurgery/Abstract/2017/01000/Analysis_of_Extended_Deep_Fat_Pad_Excision_in.4.aspx

  22. Franco-Díaz R, Donoso FA, Carvajal BC, Salomón ST, Fernanda Torres GM, Erranz MB, et al. Consecuencias hemodinámicas y respiratorias del síndrome compartimental abdominal en un modelo experimental. Rev Chil Pediatr [Internet]. 2012 [citado 19 Abr 2020];83(5):454-46. Disponible en:https://www.revistachilenadepediatria.cl/index.php/rchped/article/download/2890/2652

  23. Mesa-Izquierdo O, Ferrer-Robaina H, Travieso-Peña G, Mato-Ramos YA, González-Martínez EM. Comportamiento de la presión intrabdominal en el abdomen agudo quirúrgico. Rev Cubana Cir [Internet]. 2017 [citado 20 Ago 2020];56(3):[aprox. 11 p]. Disponible en: http://scielo.sld.cu/pdf/cir/v56n3/cir04317.pdf

  24. Anguiano-Yazbek R, López-Pérez S, Saucedo-Ortiz JA, Velarde-Hernández E, Trigos-Micoló I. Cambios en la presión intra-abdominal en la función respiratoria post-abdominoplastia. Cir Plast [Internet]. 2003 [citado 20 Ago 2020];13(2):56-60. Disponible en: https://www.medigraphic.com/pdfs/cplast/cp-2003/cp032c.pdf

  25. Zbar AP, Wun L, Chiappa A, Monteleone M, Al Hashemy M, Parkes S. Primary Intra-Abdominal Hypertension and Abdominal Compartment Syndrome: Pathophysiology and Treatment. Emerg Med Open J [Internet]. 2015 [citado 25 Jul 2020];1(2):[aprox. 17 p]. Disponible en: https://www.researchgate.net/profile/Antonio-Chiappa/publication/281369750_Primary_Intra-Abdominal_Hypertension_and_Abdominal_Compartment_Syndrome_Pathophysiology_and_Treatment/links/56eff33808ae01ae3e70e822/Primary-Intra-Abdominal-Hypertension-and-Abdominal-Compartment-Syndrome-Pathophysiology-and-Treatment.pdf




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