Background Abdominoplasty surgery is used to enhance body quality and shaping body contours. Massive weight reduction causes an overabundance of superfluous skin that causes additional psychological and functional issues. The most frequent post-abdominoplasty consequence is seroma, which often develops in the second postoperative week in areas where the skin of the trunk is compromised or dead space is produced. Several prophylactic measures have been proposed to reduce the prevalence of postoperative seroma, including drains, the use of compression garments, tissue adhesives, quilting Sutures and Suprascarp's fascia preservation.
Objectives: The purpose of this study is to assess the efficacy of suprascarp's dissection and quilting sutures in reducing seroma production after abdominoplasty in regarding the quantity of seroma, duration of drain, length of hospital stay, patient satisfaction, and ultimate cosmetic result.
Patients and methods: This study includes 30 female patients at the Plastic Surgery Unit. All of the patients met the following criteria: all patients had a BMI of less than 30, all patients have excess abdominal skin and fat tissue, and all patients exhibit musculoaponeurotic laxity. Between June 2022 and June 2023, our prospective study was carried out at the Benha University Hospital's Plastic Surgery unit. 15 patients had abdominoplasty using the quilting suture technique, while 15 others had them using Scarpa's fascia preservation.
Results: 8 patients had pendulous abdomen post weight gain, 7 patients presented with redundant skin following dietary weight loss, 8 patients presented with abdominal deformities post bariatric surgery and 7 patients presented with skin laxity following multiple pregnancies. Regarding the complications, 14 patients had no complications, 8 patients with seroma, 6 patients with hematoma and 2 patients with wound dehiscence
Conclusion: Suprascarp's fascia preservation and quilting sutures are effective in preserving abdominal wall lymphatics and decreasing postoperative complications especially; decreasing seroma rates, reducing drain duration and hospital stays.
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