Complications of Abdominoplasty and the Relationship to Different Surgical Methods

余 忠志, 賴 永隆, 翁 昭仁, Yu-Ray Chen, 羅 慧夫

Research output: Contribution to journalJournal Article peer-review

Abstract

     這是有關部腹部整形手術術後併發症的回溯性研究。我們檢視並分析本院在1987至1998年間119位接受腹部整形手術的病患的病歷。所有的病患依照他們接受的手術切口種類分為四組:下位橫向切口(low-transverse)、W形切口(W-shape)、垂直切口(vertical)、倒T形切口(inverted-T)。在門診追蹤病歷上所記載的併發症都加以登記,焦點尤其放在相關傷口復原的問題,計有傷口迸裂、傷口感染與腹部皮瓣部份壞死等。這些相關資料以卡方檢定分析,以釐清手術切口與傷口復原問題間的關係。統計結果顯示出倒T形切口(inverted-T)會造成顯著的術後傷口復原問題。至於合併施行的腹部抽脂術則不會影響術後傷口復原問題。在我們的研究系列中並沒有發現全身系統性的併發症。不過有三位同時施行腹部抽脂術與腹部整形手術病人術後有心博過速與呼吸困難的症狀。
     This is a retrospective study on the complications of abdominoplasty. Clinical notes of 119 patients who underwent abdominoplasty, with or without simultaneous suction-assisted lipectomy, between 1987 and 1998 were reviewed. The patients were categorized into four groups based on the type of their incisions: low-transverse, W-shape, vertical and inverted-T. All complications during follow up were recorded. Emphasis was placed on problems of wound healing, specifically dehiscence, infection and flap necrosis. The data was subjected to statistical significance testing with the chi-square test. Analysis revealed that the inverted-T incision produced higher wound complication rate than other incisions. The addition of a suction-assisted lipectomy to an abdominoplasty did not yield more wound complications. There was no definite systemic complications noted. Three patients developed tachycardia and tachypnea were all after a combination procedure of associated suction-assisted lipectomy and abdominoplasty.
Original languageAmerican English
Pages (from-to)175-181
Journal中華民國整形外科醫學會雜誌
Volume9
Issue number3
StatePublished - 2000

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