Niño-de Mejía MC, Chaves A, Raffan SF, Caicedo MV, Suarez AM, Diaz JC

Language: Spanish
References: 7
Page: 20-25
PDF size: 94.11 Kb.

ABSTRACT

Introduction: Intraabdominal pressure (IAP) rises when the abdominal contents increase, with consequences that could be clinically significant. However, this could also occur when the size of the abdominal wall is reduced and restrained, which occurs in patients subject to abdominal plastic surgery with subsequent placement of a girdle, a situation that has not yet been well studied. This study demonstrated the behavior of the IAP in 13 patients that used a girdle in the postoperative period of abdominal plastic surgery to determine the possible variables that affect its elevation and the group of patients with great risk of complications. Methods: Four measurements of intraabdominal pressure were made (basal, post-plication of the abdominal rectus, post-placement of the girdle and on the first postoperative hour). Information about vital signs, population data and type of girdle was collected. Analysis of data and differences between the 4 times for all patients was done using non-parametric statistics, two-factor analysis of variance by Friedman ranks and multiple comparisons. Results: We included 13 women with an average age of 38 years who underwent the liposuction and/or lipectomy, in which girdle was used in the postoperative period. All IAP values were normal at baseline. However, there was a slight increase after plication and a significant increase with use of a girdle and after 1 hour postoperatively. This increase was greater in patients with body mass index (BMI) ≥ 25. There were no significant hemodynamic changes in abdominal perfusion pressure or glomerular filtration gradient, nor an association with the type of girdle used. Discussion: The increase in IAP by the procedure, which is expected, is below the figures for intra-abdominal hypertension (IAH), but the girdle causes a significantly greater increase, being more noticeable in patients with BMI ≥ 25, making them a risk group to present HIA. Randomized controlled trials are required to give greater support to the evidence from this study, but after these observations on the increase in IAP, the girdle fell into disuse, which is difficult and questionable repeat a study which includes this practice.

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