Stigmata of Abdominoplasty (A Systematic Review and Meta- Analysis)

Authors

1 Department of Plastic and Burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

2 Department of Male Plastic and Burn Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

3 Department of Male Plastic and Burn Surgery, Gothi, Mataria Teaching Hospital, Cairo, Egypt

Abstract

Background: The purpose of abdominoplasty is to remove extra skin and fat from the abdomen and to tighten the abdominal muscles. While a flat look can be achieved by conventional abdominoplasty techniques. The aim of the study was to perform a systematic review and meta-analysis on stigmata of abdominoplasty and how to prevent and manage them. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) to search the databases of PubMed, Web-based Science and Scopus for eligible articles addressing our aim. We included all studies mentioning different abdominoplasty techniques and their effect on complications, aesthetic outcomes or satisfaction of the patients with the procedures. Results: The proportion of patients who were satisfied with abdominoplasty was 96.2 % with a pooled analysis of 0.982: (95%CI: 0.971 – 0.992). The proportion of umbilical complications among the study’s patients was 1.58% with a pooled analysis of 0.01 (95%CI: -0.001 – 0.021). The occurrence of hypertrophic scar was documented in seven studies with a total of 749 patients. The proportion of hypertrophic scar was reported to be 2.74 % with a pooled analysis of 0.024 (95%CI: 0.011 – 0.037). Conclusion: Some Abdominoplasty techniques are associated with better outcomes such as the ruler use to counteract scar asymmetry and the high-definition method that is accompanied with better aesthetic outcomes and more patient’s satisfaction.

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