Dr.Tarek Said's Scientific Publications
THE USE OF PROGRESSIVE TENSION SUTURES IN ABDOMINOPLASTY FOR FEWER COMPLICATIONS AND A SPEEDY RECOVERY

Tarek Ahmed Said, MD

Department of Surgery, Faculty of Medicine , Cairo University

Kasr El-Aini Journal of Surgery, 2005; 6 (2) May

Abdominoplasty is one of the commonest plastic surgery procedures done worldwide, however, it is plagued by a number of local complications including; hematoma and seroma formation, flap necrosis and hypertrophic scars. To avoid these complications, suction drainage and limitation of postoperative ambulation are widely used by most surgeons. The use of progressive tension sutures (PTS) has been introduced in plastic surgery in various operations to ease the advancement of various skin flaps. The basic concept of their use in abdominoplasty is to control redrapping of the abdominal flap eliminating dead space and nullifying the need for drains. It also avoids tension on the terminal suture lines by dividing flap tension over many successive points thus minimizing the possibility of flap edge necrosis and allowing early postoperative ambulation. Progressive tension sutures were used in 15 cases. No drains were used and early ambulation was allowed in all cases. The incidence of complications was very low (0.13%), minimal seroma was encountered in one case (6.65%) and was managed conservatively and superficial flap necrosis in another case (6.65%) which was managed by repeated dressings. The average duration of operation was 2.4 hours and the average postoperative hospital stay was 2.6 days. These results suggest that the use of progressive tension sutures in abdominoplasty reduces the risk of local complications, ease the early postoperative period without adding significant operative time or hospital stay.

Key words:  Abdominoplasty, progressive tension sutures, PTS, anchor sutures
 
 

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