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Am J Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, South Pavilion 14th Floor, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA. Electronic address:

Background: A disparity exists in patients receiving panniculectomies. We evaluated this disparity and assessed if it persists once patients are integrated into the healthcare system through bariatric surgery.

Methods: All patients who received bariatric surgery (n = 2528), panniculectomies (n = 1333) and panniculectomies after bariatric surgery (n = 48) at the University of Pennsylvania between January 1, 2012 and March 1, 2017 were retrospectively identified. Read More

Pol Przegl Chir 2018 10;90(6):1-7

Uniwersytet Medyczny w Łodzi Klinika Chirurgii Ogólnej i Transplantacyjnej.

Purpose: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Read More

Aesthet Surg J 2019 Jan 14. Epub 2019 Jan 14.

Stanford University, CA, and a Plastic Surgery Specialist Registrar, London, UK.

Abdominal contour deformities are an aesthetic challenge to the plastic surgeon. Patients present with diverse clinical histories, multiple co-morbidities, and unique aesthetic demands. Weight loss, previous pregnancy, and aging are three principal indications for abdominoplasty. Read More

BMJ Case Rep 2019 Jan 14;12(1). Epub 2019 Jan 14.

Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India.

The exstrophy-epispadias complex represents a spectrum of genitourinary malformations ranging from simple glanular epispadias to an overwhelming multisystem defect, cloacal exstrophy. Neonatal total reconstruction of bladder exstrophy-epispadias complex is the treatment of choice. An adult patient presenting with untreated exstrophy is very rare. Read More

PLoS One 2019 14;14(1):e0210797. Epub 2019 Jan 14.

Department of Pediatric Surgery, Charles University in Prague, 2nd Faculty of Medicine, University Hospital Motol in Prague, Prague, Czech Republic.

Background/purpose: We analyzed the capacity of urinary Intestinal fatty acid-binding protein (I-FABP) to quantify the degree of mucosal injury in neonates with gastroschisis (GS) and to predict the speed of their clinical recovery after surgery.

Methods: In this prospective study, we collected urine during the first 48h after surgery from neonates operated between 2012 and 2015 for GS. Neonates with surgery that did not include gut mucosa served as controls for simple GS and neonates with surgery for intestinal atresia served as control for complex GS patients. Read More

J Plast Reconstr Aesthet Surg 2018 Dec 17. Epub 2018 Dec 17.

Aesthetic Surgery & Medicine, MediCenter Munich Solln, Munich, Germany.

Background: In our previous retrospective study, we detected an increased quality of life after aesthetic abdominoplasty. In this survey, we analyzed quality of life, self-esteem, emotional stability, and mental health before and after aesthetic abdominoplasty prospectively.

Methods: Twenty-two female patients were surveyed before and six months after their surgeries. Read More

Eur J Surg Oncol 2018 Dec 29. Epub 2018 Dec 29.

Peritonectomy and Liver Unit, Department of Surgery, St George Hospital, Kogarah, NSW, 2217, Sydney, Australia; St George Hospital Clinical School, University of New South Wales, Chapel Street, Kogarah, NSW, 2217, Sydney, Australia. Electronic address:

Purpose: CRS/HIPEC has evolved as an effective method for management of selected patients with peritoneal metastatic disease. Abdominal wall resection (AWR) is often required, and may require complex reconstructions, such as component separation (CST) leading to wound dehiscence (WD) and wound complications (WC). The purpose of our study was to analyse factors contributing to wound complications and wound recurrence (WR). Read More

Surg Obes Relat Dis 2018 Nov 5. Epub 2018 Nov 5.

Department of Surgery, Gothenburg, Sweden; Department of Physical Therapy Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.

Background: Excess skin is well known after massive weight loss but, there is missing knowledge from various groups.

Objectives: To describe and compare excess skin in a reference population during obesity, after obesity surgery, and after reconstructive abdominoplasty.

Setting: University hospital, Sweden. Read More

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Department of Surgery, University of Maryland Medical Center, Baltimore, MD.

Background: As elective surgery becomes more popular, the stringency of insurance coverage policies has increased exponentially. Many patients with diastasis recti (DR) are denied coverage of the corrective surgery that has been shown to improve function and quality of life in this patient population. Plastic surgeons are frustrated by the lack of guidelines and sparsity of coverage for surgical correction of DR. Read More

Obes Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander-University of Erlangen-Nürnberg (FAU), Krankenhausstr. 12, 91054, Erlangen, Germany.

Background: Body contouring surgery after massive weight loss was shown to ameliorate the patient's quality of life and to enhance physical and psychological well-being. However, numerous patients are still obese when presenting for body contouring surgery, not able to lose additional weight for various reasons. Data regarding general feasibility, outcome, and postoperative complications in obese patients is rare. Read More

J Plast Reconstr Aesthet Surg 2018 Dec 15. Epub 2018 Dec 15.

Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Body contouring surgery following massive weight loss positively affects a patient's quality of life. However, the procedure is prone to complications. Herein, we stratified complications timewise. Read More

Int J Colorectal Dis 2019 Jan 4. Epub 2019 Jan 4.

Department of Plastic and Hand Surgery, Faculty of Medicine, University of Freiburg, im Breisgau, Germany.

Aim: Perineal defects following the resection of anorectal malignancies are a reconstructive challenge. Flaps based on the rectus abdominis muscle have several drawbacks. Regional perforator flaps may be a suitable alternative. Read More

Gynecol Oncol Rep 2019 Feb 12;27:38-41. Epub 2018 Dec 12.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Lebanon.

A 43-year-old woman treated with radical hysterectomy 1 year ago for cervical cancer presented with a suprapubic abdominal mass. A 15 cm necrotic mass from the abdominal wall along with 2 small bowel loops and the dome of the bladder were resected. The peritoneal defect was reconstructed with a pedicled anterolateral thigh and Vastus Lateralis muscle composite flap. Read More

Am J Surg 2018 Dec 11. Epub 2018 Dec 11.

University of Utah, Division of Plastic Surgery, 30N 1900 E, #3B400, Salt Lake City, UT, 84132, USA. Electronic address:

Background: As posterior component separation techniques continue to gain popularity there is uncertainty regarding the degree of fascial advancement afforded by the various techniques. Our study seeks to compare the degree anterior rectus sheath translation seen in full transversus abdominus release compared to simple release of the posterior lamella of the rectus sheath.

Methods: Ten hemi-abdomens in five fresh cadavers were dissected. Read More

Aesthet Surg J 2018 Dec 27. Epub 2018 Dec 27.

Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London, UK.

Background: Cosmetic surgery tourism is thriving. Lower costs and all-inclusive cosmetic surgery holiday packages have led to more patients seeking cheaper aesthetic surgery abroad. However, limited postoperative care results in patients frequently presenting to NHS hospitals with postoperative complications requiring surgery. Read More

Plast Reconstr Surg 2018 Dec 24. Epub 2018 Dec 24.

Department of Surgery, Duke University, Durham, NC.

Background: The purpose of this study was to identify differences in patient reported abdominal well-being, satisfaction, and quality of life in women with muscle-preserving free abdominal versus pedicle TRAM flap for breast reconstruction.

Background: The purpose of this study was to identify differences in patient reported abdominal well-being, satisfaction, and quality of life in women with muscle-preserving free abdominal versus pedicle TRAM flap for breast reconstruction.

Methods: Women with a history of breast cancer surgery were recruited from the Army of Women foundation to take the BREAST-Q© and a background questionnaire. Read More

Plast Reconstr Surg 2019 Jan;143(1):165e-171e

Seattle, Wash.; and Portland, Ore. From the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Washington; the Department of Surgery, UW Medicine Regional Burn Center, Harborview Medical Center; and the Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health & Science University.

Background: Patients undergoing abdominal wall reconstruction are at increased risk of postoperative respiratory failure. Understanding the epidemiology of this complication may guide preventive efforts.

Methods: The authors performed a population-based retrospective cohort study of adults undergoing elective abdominal wall reconstruction (ventral hernia repair with component separation) in the United States from 2004 through 2011 using the Nationwide Inpatient Sample. Read More

Plast Reconstr Surg 2019 Jan;143(1):87-96

Ann Arbor, Mich.; and Toledo, Ohio From the Section of Plastic Surgery, Departments of Surgery and Orthopedic Surgery, the Section of General Surgery, Department of Surgery, the Department of Anesthesiology, University of Michigan; and the University of Toledo School College of Medicine and Life Sciences.

Background: Opioid misuse occurs commonly among obese patients and after bariatric surgery. However, the risk of new persistent use following postbariatric body contouring procedures remains unknown.

Methods: The authors examined insurance claims from Clinformatics Data Mart (OptumInsight, Eden Prairie, Minn. Read More

Ann Med Surg (Lond) 2019 Feb 12;38:1-7. Epub 2018 Dec 12.

General Surgery Division, Cavalese Hospital, Cavalese, Italy.

Background: Midline primary hernias represent one of the most frequent abdominal wall defects in the adult population and in almost half of the cases they are associated with a rectus abdominis diastasis (RAD). Despite the high incidence of these defects there is currently no consensus in the literature on what is the preferred surgical technique for treatment. In this paper we present the first case series treated with an innovative technique that aims to repair the defects of the midline and RAD, while combining the advantages of the sublay Rives-Stoppa technique with those of the minimally-invasive surgery. Read More

Dermatol Surg 2018 Dec 18. Epub 2018 Dec 18.

Maryland Dermatology, Laser, Skin and Vein Institute, Hunt Valley, Maryland.

Background: Hyaluronic acid fillers (HAFs) and energy-based devices are frequently used sequentially. However, the effect of using fractional devices directly over HAF is unclear.

Objective: To evaluate histologic changes after fractional laser and radiofrequency (RF) therapies applied over preinjected HAF. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;32(12):1611-1614

The 18th Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, 100144,

Objective: To summarize the research progress of abdominoplasty.

Methods: The literature related to abdominoplasty in recent years was reviewed and the evolution of this surgical method and related surgical techniques were summarized.

Results: By removing excess skin adipose tissue from abdominal wall and strengthening loosening muscle fascia system, the abdominal wall contour can be improved by abdominoplasty. Read More

Hernia 2018 Dec 18. Epub 2018 Dec 18.

Department of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.

Purpose: Recent work has shown that over 40% of patients undergoing surgery for abdominal malignancy develop ventral incisional hernias (VIH) within 2 years. We hypothesized that early repair of VIH for cancer survivors could improve long-term quality of life (QoL).

Methods: All patients presenting with a history of surgery for abdominal malignancy and a VIH were prospectively enrolled. Read More

Beijing Da Xue Xue Bao Yi Xue Ban 2018 Dec;50(6):1049-1052

Musculoskeletal Tumor Center, Peking University People's Hospital, Beijing 100044, China.

Objective: For patients who had hemipelvectomies involving the resection of a portion or the whole of the pubis, bony reconstruction was not recommended commonly. However, the soft tissue reconstruction of the lower abdominal wall may benefit these patients. The object of the study was to determine the clinical effect of lower abdominal wall reconstruction with LARS ligament after pubic tumor resection interms of patient-reported and objective outcome. Read More

Ann Plast Surg 2018 Dec 18. Epub 2018 Dec 18.

From the Department of Plastic and Reconstructive Surgery, Emory University Hospital, Atlanta, GA.

Background: There is a growing literature of evidence that the use of acellular dermal matrices (ADMs) in abdominal wall reconstruction (AWR) for high-risk patients provides superior complication profiles when compared with standard synthetic mesh. Here we compare Fortiva, Strattice, and Alloderm ADMs in AWR.

Methods: In a prospectively maintained database, all patients undergoing AWR between January 2003 and November 2016 were reviewed. Read More

Open Access Maced J Med Sci 2018 Nov 19;6(11):2073-2078. Epub 2018 Nov 19.

Department of Anesthesiology & ICU, Faculty of Medicine, Cairo University, Cairo, Egypt.

Aim: To evaluate the feasibility and safety of mini abdominoplasty with liposuction under local tumescent anaesthesia (LA) as the sole anaesthetic modality.

Methods: The study included 60 female patients with a mean age of 33.3 ± 5. Read More

Cas Lek Cesk 2018 ;157(6):298-301

Excess of skin and fat in lower abdomen can be aesthetic and, in some patients, also medical problem. This article gives basic information about different types of abdominoplasty, the way how it is performed, about recovery time, risks and complications. Several patients pictures demonstrate pre and postoperative results. Read More

J Reconstr Microsurg 2018 Dec 17. Epub 2018 Dec 17.

Department of Plastic Surgery and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Background:  Abdominal wall morbidity following microvascular breast reconstruction continues to be an area of interest due to both functional and aesthetic concerns. Donor-site closure technique has been shown to affect bulge and hernia rates and ranges from primary closure to various uses of mesh. Few studies to date have compared types of mesh. Read More

Hernia 2018 Dec 11. Epub 2018 Dec 11.

Department of Surgery, Elkerliek Hospital, Helmond, The Netherlands.

Background: Transversus abdominis release (TAR), as a type of posterior component separation, is a new myofascial release technique in complex ventral hernia repair. TAR preserves rectus muscle innervation, creates an immense retromuscular plane and allows bilaminar ingrowth of the mesh. The place of the TAR within the range of established anterior component separation techniques (CST) is unclear. Read More

Plast Reconstr Surg Glob Open 2018 Oct 4;6(10):e1907. Epub 2018 Oct 4.

Service of Plastic, Reconstructive and Aesthetic Surgery, and Maxillo-facial Surgery, Henri Mondor's Hospital, Créteil Cedex.

Introduction: Massive weight loss following bariatric surgery has a major functional and aesthetic impact on patients. Many patients are nonetheless reluctant to undergo plastic surgery in connection with their former obesity because they fear potentially large scars, even though such scars are not visible (ie, they are covered by undergarments).

Purpose: The aim of this study was to evaluate the quality of wound healing in patients receiving Celergen supplementation following abdominoplasty, compared with a control group. Read More

Ann Chir Plast Esthet 2018 Dec 4. Epub 2018 Dec 4.

Hôpital de la Croix-Rousse, 69004 Lyon, France.

Background: Umbilical necrosis is a well-known complication of abdominoplasty, the risk of this complication can be increased when an associated umbilical hernia requires further dissection in peri-umbilical region, potentially leading to umbilical devascularisation. Multiple minimally invasive open techniques were described to avoid this problem. The combined approach of abdominoplasty with laparoscopic umbilical hernia repair is one promising solution to avoid devascularising the umbilicus. Read More

J Biomater Appl 2018 Dec 10:885328218817890. Epub 2018 Dec 10.

1 División de Ciencias Ingenierías, Universidad de Guanajuato, León Guanajuato, Mexico.

The stability and bioactivity of biologic implants rely mainly on the control of the crosslinking process of collagen. However, the most common methods have no control on the crosslinking degree producing it excessively. This study outlines the role of crosslinking of collagen-based implants with oligourethane on the host response following reconstruction of a rat full-thickness abdominal wall defect. Read More

Transl Gastroenterol Hepatol 2018 31;3:86. Epub 2018 Oct 31.

Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Large intraabdominal, retroperitoneal, and abdominal wall sarcomas provide unique challenges in treatment due to their variable histology, potential considerable size at the time of diagnosis, and the ability to invade into critical structures. Historically, some of these tumors were considered inoperable if surgical access was limited or the consequential defect was unable to be closed primarily as reconstructive options were limited. Over time, there has been a greater understanding of the abdominal wall anatomy and mechanics, which has resulted in the development of new techniques to allow for sound oncologic resections and viable, durable options for abdominal wall reconstruction. Read More

Ann Plast Surg 2019 Jan;82(1):85-88

Divisions of Plastic, Reconstructive, and Hand Surgery, Department of Surgery, West Virginia University School of Medicine, Morgantown, WV.

Open abdominal surgery continues to be most commonly complicated by postoperative herniation at the incision line. In 2012, Novitsky et al described a novel hernia repair technique that utilized a transversus abdominis release coupled with a posterior (retrorectus) component separation (TAR-PCS) of the ventral abdominal wall. Early reports attest to the versatility and low recurrence rate of this technique, particularly when repairing large and complex defects. Read More

Aesthetic Plast Surg 2018 Dec 3. Epub 2018 Dec 3.

Department of Plastic and Reconstructive Surgery, The Second Affiliated Hospital, Anhui Medical University, 678, FuRong Road, Hefei, 230601, Anhui Province, China.

Background: Lipoabdominoplasty is a powerful operation to maintain a youthful physique for aging people, improve body contouring, and remove excess skin caused by massive weight loss. Nonetheless, it is controversial to combine abdominoplasty and liposuction because of the potential for vascular damage of the abdominal flap and increased complications. The purpose of this article was to determine the complication rates of lipoabdominoplasty compared with traditional abdominoplasty. Read More

BJS Open 2018 Dec 2;2(6):464-469. Epub 2018 Aug 2.

Peritoneal Malignancy Institute Basingstoke and North Hampshire Hospital Basingstoke RG24 9NN UK.

Background: Patients with peritoneal malignancy often have multiple laparotomies before referral for cytoreductive surgery (CRS). Some have substantial abdominal wall herniation and tumour infiltration of abdominal incisions. CRS involves complete macroscopic tumour removal and hyperthermic intraperitoneal chemotherapy (HIPEC). Read More

BJS Open 2018 Dec 14;2(6):371-380. Epub 2018 Jun 14.

College of Medical and Dental Sciences University of Birmingham Birmingham UK.

Background: Achieving stable closure of complex or contaminated abdominal wall incisions remains challenging. This study aimed to characterize the stage of innovation for biological mesh devices used during complex abdominal wall reconstruction and to evaluate the quality of current evidence.

Methods: A systematic review was performed of published and ongoing studies between January 2000 and September 2017. Read More

Plast Reconstr Surg 2018 Dec;142(6):1644-1651

Galveston, Texas From the Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch.

Background: Medical tourism has become increasingly globalized as individuals travel abroad to receive medical care. Cosmetic patients in particular are more likely to seek surgery abroad to defray costs. Unfortunately, not all procedures performed abroad adhere to strict hygienic regulations, and bacterial flora vary. Read More

Aesthetic Plast Surg 2018 Nov 27. Epub 2018 Nov 27.

Inserm U1051, University of Montpellier, Montpellier, France.

Background: Photobiomodulation is widely studied for its potential benefits in the wound healing process. Numerous scientific studies have highlighted its effect on various phases of wound repair, but clinical validations are few. This comparative trial aims to evaluate the influence of photobiomodulation on the post-abdominoplasty healing process. Read More

Aesthet Surg J 2018 Nov 27. Epub 2018 Nov 27.

Consultant plastic surgeon in private practice in Abu Dhabi, United Arab Emirates, and is Body Contouring Section Co-editor for the Aesthetic Surgery Journal.

The following publication was compiled as an evidence-based update for plastic surgeons performing abdominoplasty from a review of the published literature on that subject between January 2014 and February 2017. It is an overview of various aspects of abdominoplasty including preoperative patient assessment, variations and advances in both surgical and anesthetic technique, patient safety, and outcomes. It is intended to serve as an adjunct to previously published evidence-based reviews of abdominoplasty. Read More

Surg Technol Int 2018 Nov 23;34. Epub 2018 Nov 23.

eorgetown University School of Medicine, Vice Chair of Research for MedStar Plastic and Reconstructive Surgery, Center for Wound Healing, MedStar Georgetown University Hospital, Washington, DC.

In the environment of diabetes and peripheral vascular disease (PVD), there is a high risk of incisional complications following amputation, including seroma, hematoma, infection, and dehiscence. Incisional negative-pressure wound therapy (iNPWT) is a novel application of negative-pressure wound therapy (NPWT) that may be able to mitigate these complications and reduce the need for revisional surgery (including higher-level major lower-extremity amputations). It may also facilitate an increased rate of healing and earlier return to function. Read More

Clin Plast Surg 2019 Jan 22;46(1):91-103. Epub 2018 Oct 22.

Private Practice, Michaels Aesthetic & Reconstructive Plastic Surgery, 11404 Old Georgetown Road, Suite 206, North Bethesda, MD 20852, USA; Department of Plastic and Reconstructive Surgery, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA. Electronic address:

Excess thigh laxity is a problem for many patients following significant weight loss. Thigh laxity has both vertical and horizontal components that require correction to optimize the aesthetic appearance of the thigh. The vertical vector is best corrected first with a lower body lift or extended abdominoplasty. Read More

Clin Plast Surg 2019 Jan;46(1):49-60

Plastic Surgery Division, Botucatu Medical School, Paulista State University, Rua Tomaz Antonio Gonzaga, 160 Lins, São Paulo 16400-465, Brazil.

Body contouring for patients with massive weight loss may demand not only lifting but also some extent of central body tightening to achieve complete tissue readjustment. Although the fleur-de-lis procedure usually achieves nice contouring results, poor visible scars, including umbilical complications, have restricted the indications for the anterior vertical approach. The purpose of this article is to present the authors' experience with the inner scar umbilical reconstruction, enhancing overall results for vertical abdominoplasties. Read More

Clin Plast Surg 2019 Jan 24;46(1):41-48. Epub 2018 Oct 24.

Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Department of Plastic Surgery, Lenox Hill Hospital, New York, NY, USA.

The abdomen is the most common area of concern among patients with massive weight loss (MWL). Abdominal contouring techniques in the MWL population include panniculectomy, standard abdominoplasty, fleur-de-lis abdominoplasty, reverse abdominoplasty and various combinations of these techniques as part of circumferential procedures such as, circumferential abdominoplasty, and lower body lift. The authors believe that the optimal surgical approach to the abdomen is an integration of the patient aesthetic preferences and the surgeon assessment and experience. Read More

Clin Plast Surg 2019 Jan;46(1):33-39

Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. Electronic address:

Body contouring procedure is a catchall that includes mastopexy, abdominoplasty, liposuction, and lower body lift. It is well known that optimal postoperative pain control decreases hospitalization length of stay and promotes early ambulation, which in turn decreases the incidence of complications. There have been many innovations in pain control beyond opiate medications, including prolonged administration of local anesthesia, regional blocks, and the use of a multimodal regimen which utilizes nonopiates. Read More

Clin Plast Surg 2019 Jan 22;46(1):25-32. Epub 2018 Oct 22.

Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 601 North Caroline street, Baltimore, MD 21287, USA. Electronic address:

Body contouring after weight loss is becoming more prevalent. An appropriate systematic approach that starts from the first consultation needs to focus on residual comorbidities and weight of the patient. A thorough discussion about potential outcomes manages expectations. Read More

Saudi J Anaesth 2018 Oct-Dec;12(4):593-598

Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Background: Abdominoplasty is a common aesthetic procedure. The transversus abdominis plane block (TAPB) and rectus sheath block (RSB) have proven efficacy as analgesic modality for abdominal surgeries. This study demonstrates post-abdominoplasty analgesic duration consequent to the three surgically infiltrated local anesthetic techniques: bilateral TAPB, bilateral RSB, and subcutaneous infiltration (SCI) of 0. Read More

Einstein (Sao Paulo) 2018 Nov 8;16(4):eRC3887. Epub 2018 Nov 8.

Centro de Apoio à Criança com Anomalia Urológica, São Paulo, SP, Brazil.

We report a case of secondary urinary reconstruction of previously separated conjoined twins with exstrophic bladder and urinary incontinence. Patients were male and aged 13-year-old. Twin one had a history of failed enterocystoplasty that extruded and was visible like an exstrophic neobladder. Read More

World J Surg 2018 Nov 13. Epub 2018 Nov 13.

Department of Digestive Surgery, University Hospital of Dijon, 14 Rue Paul Gaffarel, 21079, Dijon, France.

Introduction: To reduce the occurrence of complications in the setting of high-risk patients with contaminated operative field, a wide range of biologic meshes has been developed. Yet, few series have reported outcomes after abdominal wall repair (AWR) using such meshes. Permacol is an acellular porcine dermal collagen matrix with a cross-linked pattern. Read More

Hernia 2018 Nov 13. Epub 2018 Nov 13.

Department of Plastic and Reconstructive Surgery, China Medical University Hospital, 2 Yuh Der Road, 404, Taichung City, Taiwan, Republic of China.

Purpose: Long-term follow-up for pedicled anterolateral thigh (ALT) flap with vastus lateralis and tensor fascia lata for complex abdominal wall reconstruction is rarely reported. This study aimed to evaluate the feasibility of extended pedicled ALT flap.

Methods: This retrospective review was conducted at a single medical center between 2011 and 2018. Read More

Can Vet J 2018 Nov;59(11):1187-1194

Colorado State University College of Veterinary Medicine and Biomedical Sciences, Fort Collins, Colorado 80523-1678, USA (Mejia); VCA Canada 404 Veterinary Emergency & Referral Hospital, Surgical Oncology, Newmarket, Ontario L3Y 0B3 (Boston); University of Missouri Veterinary Health Center, Surgical Oncology, Columbia, Missouri (Skinner).

The objectives of this study were to describe the sartorius muscle flap for body wall reconstruction, including description of the anatomy and surgical technique and to report its clinical application for abdominal wall reconstruction in dogs and cats. The descriptive report involves a retrospective case series for 2 dogs and 3 cats. Inclusion criteria were cats or dogs that had a tumor resection resulting in an abdominal wall defect that was reconstructed using an ipsilateral or contralateral sartorius muscle flap. Read More