Abstract:
INTRODUCTION:Scarpa fascia preservation might be a promising approach to reduce seroma and other complications after abdominoplasty. However, the results remained controversial. We conducted a systematic review and meta-analysis to evaluate the efficacy and safety of scarpa fascia preservation in patients with abdominoplasty. METHODS:PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials and clinical controlled trials assessing the effect of scarpa fascia preservation versus control (without scarpa fascia) during abdominoplasty were included. Two investigators independently searched articles, extracted data, and assessed the quality of included studies. The primary outcomes were seroma and hematoma/bleeding. Meta-analysis was performed using random-effect model. RESULTS:Four studies involving 630 patients were included in the meta-analysis. Overall, compared with the control group, scarpa fascia preservation was associated with a significant reduced seroma (OR 0.16; 95% CI 0.06-0.43; P = 0.0004), time until drain removal (std. mean difference = -0.92; 95% CI -1.31 to -0.54; P<0.00001;), drain output (std. mean difference = -0.92; 95% CI -1.38 to -0.45; P = 0.0001), and hospital stay (std. mean difference = -0.93; 95% CI -1.48 to -0.39; P = 0.0008), but it failed to alter hematoma/bleeding (OR 0.46; 95% CI 0.09-2.38; P = 0.36), infection (OR 0.38; 95% CI 0.11-1.25; P = 0.11), and suture rupture (OR 0.67; 95% CI 0.12-3.73; P = 0.65) in patients with abdominoplasty. CONCLUSIONS:Scarpa fascia preservation was associated with a significant decreased seroma, time until drain removal, drain output, and hospital stay, but could not change hematoma/bleeding, infection and suture rupture following abdominoplasty. Scarpa fascia preservation should be recommended during abdominoplasty. LEVEL OF EVIDENCE II:This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Xiao X,Ye Ldoi
10.1007/s00266-017-0784-4subject
Has Abstractpub_date
2017-06-01 00:00:00pages
585-590issue
3eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-017-0784-4journal_volume
41pub_type
杂志文章,meta分析,评审abstract:BACKGROUND:This study aimed to explore the treatment of capsular contracture after augmentation mammaplasty by insertion of a breast prosthesis anterior to the original capsule. METHODS:Through transaxillary or submammary incisions and small capsular incisions, 14 patients (18 breasts) with Baker grades 3 and 4 capsul...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9733-9
更新日期:2011-12-01 00:00:00
abstract::The estimation of breast implant size in both aesthetic and reconstructive surgery often is a matter of clinical and intraoperative trial and error, with subsequent differences in the resulting postoperative outcomes. Numerous techniques for preoperative estimation of implant size are in current use. However, although...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9045-2
更新日期:2008-01-01 00:00:00
abstract::In the past few years the approach to lower blepharoplasty complications has evolved. New and worthy preventive and curative treatments have been suggested for both scleral show and ectropion (operations with or without interruption of the lid margin, mucosal grafts, orbicularis flaps, etc.). Among these, several tech...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900214
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Van der Woude syndrome (VWS; OMIM 119300) is an autosomal dominant developmental malformation presenting with bilateral lower lip pits related to cleft lip, cleft palate, and other malformations in about half the patients. These congenital lip pits appear clinically as a defect in the vermilion border of the...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9027-4
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Chest reconstruction ('top surgery') is an important component of transition in the transmasculine population that can substantially improve gender incongruence. The aim of this study was to evaluate the demographic characteristics, surgical technique, and postoperative outcomes following transmasculine ches...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01479-2
更新日期:2019-12-01 00:00:00
abstract::Acute hematoma remains one of the most frequently encountered complications after face-lift surgery. Several risk factors inherent to the patient and omission of certain intraoperative regimens are considered to cause hematoma. Significant risk factors include high blood pressure and male gender. Possible intraoperati...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9488-8
更新日期:2010-08-01 00:00:00
abstract::Until now, aesthetic goals in parotid surgery have seldom been addressed because oncologic concerns have largely overshadowed aesthetic issues for patients with parotid masses. Fortunately, the majority of parotid masses are benign pleomorphic adenomas that rarely recur, leaving a large group of patients healthy after...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-005-0153-6
更新日期:2006-01-01 00:00:00
abstract:UNLABELLED:Abdominoplasty is a frequent operative procedure among patients with massive weight loss following laparoscopic adjustable gastric banding (LAGB) surgery. After abdominoplasty, patients are carefully monitored and usually discharged from the clinic after overnight hospitalization. We report a case of acute e...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-012-0021-0
更新日期:2013-02-01 00:00:00
abstract::Reports on rhinoplastic sequelae are infrequent. Reported incidence rates vary from 5% to 12%. The authors have an overall rate of 8%, with 6.5% of cases involving slight sequelae and 1.5% moderate ones. Various techniques for correction are used, depending on the sequel. Silastic implants have been unsatisfactory ove...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570667
更新日期:1983-01-01 00:00:00
abstract::Nipple necrosis is a potential complication of breast reduction and mastopexy procedures that can be prevented if the surgeon is acquainted with the arterial blood supply to the breast, particularly the nipple-areolar complex (NAC). A review of the latest research on this with its clinical application is given. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9070-1
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:The question of whether expander inflation/deflation status has any bearing on surgical complications in the setting of adjuvant radiation (XRT) has not been addressed. The objective of this study is to investigate whether the inflation/deflation status of the expander at the time of XRT is associated with c...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0864-5
更新日期:2017-06-01 00:00:00
abstract::The gold standard treatment for the many aesthetic aspects of aging has for many years been surgery in its many forms. However, with increasing patient demand for cosmetic rejuvenation and with the strong desire and drive by patients to attain aesthetic enhancement with minimal risk and rapid recovery, there has been ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-009-9361-9
更新日期:2009-05-01 00:00:00
abstract::Treatment of axillary osmidrosis has been mainly concerned with surgical excision of glandular tissues and involved major surgical procedures with high morbidities and many complications. Search for a less invasive procedure for axillary osmidrosis resulted in the use of liposuction. However, there have been controver...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010045
更新日期:2000-07-01 00:00:00
abstract::Thin lips and an aging lower third of the face are increasingly the focus for surgical improvement. Thin and tightly pursed lips imply a certain resignation or even bitterness, especially in older women. Excessive application of lipstick to enhance the shape and color of thin lips was a solution but a poor camouflage....
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00437101
更新日期:1993-10-01 00:00:00
abstract::Lower blepharoplasty is a challenging aesthetic procedure. Despite advances in clinical and neuroanatomical studies related to orbicularis oculi muscle innervation, no study has examined its histopathological aspects in different lower blepharoplasty procedures. This study aimed to assess changes in the pretarsal musc...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-01305-1
更新日期:2019-06-01 00:00:00
abstract::There have been many important analyses of prosthesis selection, techniques of implantation, and subpectoral or subglandular pockets, but only a few studies comparing and discussing the different approaches. The best incision must achieve a good and simple approach to the retromammary location, subpectoral or subgland...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900314
更新日期:1999-11-01 00:00:00
abstract:BACKGROUND:Overresection of the lower lateral cartilages to narrow the tip in individuals with thick skin is a common mistake with functional and aesthetic consequences. The most frequent deformities are external valve dysfunction, alar retraction, alar pinch, tip asymmetry, lack of tip definition, and parrot beak defo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9267-y
更新日期:2009-01-01 00:00:00
abstract::Micrografting for hair restoration has become increasingly popular because of the natural results it can achieve. The procedure is often performed under local anesthesia or local anesthesia with sedation. To achieve adequate anesthesia, supraorbital and supratrochlear nerve blocks are often performed as well as infilt...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02275575
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:The authors have developed a new digital photogrammetric method of facial analysis known as balanced angular and proportional analysis (BAPA). Using BAPA, the authors analyzed the faces of attractive Korean entertainers. METHODS:The BAPA approach involves 28 landmarks and 14 measurements (10 proportional an...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9257-0
更新日期:2009-03-01 00:00:00
abstract::Use of a compound implant to project the nasal tip in cases of thick skin, a depressed or slightly descending tip, and a minimal bony hump is reported. This implant gives shape and projection, is easy to obtain, and is well tolerated by the organism. It is made of a strip of septal cartilage or silastic; the anterior ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575507
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Skin- or nipple-sparing mastectomy facilitates immediate one-stage reconstruction with an implant. Traditionally, an acellular dermal matrix or a muscle flap has been used because the inferolateral portion of the implant cannot be covered by the pectoralis major muscle. However, this method has drawbacks, in...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0351-1
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:One-stage augmentation/mastopexy entails the challenge of augmenting breast volume with an implant while resecting excess skin. Although both augmenting and lifting the breast in a one-stage operation is gaining in popularity, its safety and its efficacy are still under debate and merit deeper evaluation. M...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0388-1
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Fat-preserving lower blepharoplasty techniques and filling techniques using autologous or non-autologous materials are increasingly used to treat tear trough deformity. However, there has been no definitive comparison of the results of fat repositioning versus autologous fat grafting for this condition. The ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0692-z
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Although silicone rubber (SR) implants are most commonly used and effective for soft-tissue augmentation, they still have been implicated in many adverse reactions. To overcome this problem, a novel composite beta-tricalcium phosphate/silicone rubber (beta-TCP/SR) was prepared by adding beta-TCP into a SR ma...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9363-7
更新日期:2009-09-01 00:00:00
abstract::A simplified technique for surgical correction of prognathism, consisting of an angled or L-shaped osteotomy in the mandibular ramus starting from the sigmoid notch and ending on the posterior border of the ascending ramus, has been performed on 365 patients. Modifications of the procedure allow for concomitant correc...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575238
更新日期:1980-12-01 00:00:00
abstract::In the last 12 years we performed mammoplasty on 191 patients, using the Wise pattern and the Strömbeck technique. In the same 12-year period, we also performed abdominoplasty in 108 patients, using the Pitanguy and the Grazer procedures. In the last four years we performed suction lipectomy in 43 patients, using the ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570358
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Lipoinjection is a promising treatment but has some problems, such as unpredictability and a low rate of graft survival due to partial necrosis. METHODS:To overcome the problems with lipoinjection, the authors developed a novel strategy known as cellassisted lipotransfer (CAL). In CAL, autologous adiposeder...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01819-7
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The hammock technique combines inferior pedicle mammaplasty with retropectoral and inferior suspensions to prevent displacement of breast tissue toward the inferior mammarian pole. This study aimed to assess the long-lasting internal suspension with the author's mammary reduction technique. METHODS:From 198...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0188-3
更新日期:2007-05-01 00:00:00
abstract:PURPOSE:To determine the dimensions and function of the auricular muscle and to consider applications of this muscle in facial plastic surgery. METHODS:Nonpreserved fresh frozen human cadaver dissections from the (HOSPITAL-Blinded) Body Donation program were dissected. The length and width of the superior auricular mu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-02045-x
更新日期:2020-11-30 00:00:00
abstract::A nomenclature for the definition, diagnosis, and surgical management of the congenital anomalies of the breast is suggested. The International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT) code numbers pertaining to these anomalies have been tabulated. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570327
更新日期:1989-01-01 00:00:00