PHẪU THUẬT TẠO HÌNH THÀNH BỤNG KẾT HỢP HÚT MỠ - BẢO TỒN MẠCH XUYÊN

Abstract

Objective: To present the technique and results of abdominoplasty combined with liposuction with preservation of perforators, complications and how to handle them. Subjects - Methods: From January 2022 to January 2024, there were 46 female patients aged 32 to 55 with thick fat accumulation in the abdominal wall, excess skin, and loose fascia of the abdominal wall after giving birth with different degrees. All of them under gone  total abdominoplasty combined with liposuction with preservation of perforating vessels. Prospective method of clinical intervention, longitudinal follow-up. Results: Short term results were good at 93.4%, long term results were good at 81.4%. There were 4 cases of minor complications (8.7%). Conclusion: Abdominoplasty can be safely combined with liposuction with a technique that preserves at least one perforating vessel branch supplying blood to the skin flap. Thorough liposuction technique helps the skin flap move and slide more easily. Care should be taken to avoid stretching or breaking the perforator pedicle when moving the skin flap.