ENDOSCOPIC
ABDOMINOPLASTY: A MINIMALLY INVASIVE TECHNIQUE IN ABDOMINAL LIPODYSTROPHY
Sherif Zamer (M.D.), Tarek A. Said
(M.D.) and M. Alaa El-Deen A. Hameed (M.D.)*
Department
of Surgery, Faculty of Medicine , Cairo University and *Department of Surgery,
Cairo University Hospital
Kasr El-Aini Journal of
Surgery, Vol (5), No (1), January 2004: 27-32
Endoscopic abdominoplasty aims at correction
of abdominal contour deformities with avoidance of long unsightly scars.
In this study, this technique was performed on twelve female patients with
a mean age of 37.4 years. Nine of them with grade II abdominal lipodystrophy
and three with grade I. Initial liposuction was done in all cases followed
by a circumumbilical insertion of an endoretractor and creation of an optical
cavity. In four cases, only supraumbilical plication was performed, while
combined supra and infraumbilical plication was required in the other eight
cases. Complications were minor, seroma in two cases (16.6%), which were
managed by aspiration and compression. Skin redundancy occurred in two
cases (16.6%) and required apronectomy. In four cases (33.3%), mild umbilical
incision hyperaemia were found and subsided uneventfully. This technique
offers a great advantage over classic abdominoplasty in properly selected
cases as it avoids the lengthy scars and offers a shorter rehabilitation
period.
