| PRS 0407-2145 Al-Basti
Al-Basti HB, El-Khatib HA, Taha A, Sattar HA, Bener A.
Intraabdominal pressure after full abdominoplasty in obese multiparous patients.
Plast Reconstr Surg. 2004 Jun;113(7):2145-50; discussion 2151-5. PMID: 15253209
Department of Plastic Surgery, Hamad General Hospital and Hamad Medical
Corporation, Doha, Qatar. halbasti@qatar.net.qa
This study measured intraabdominal pressure in morbidly obese and multiparous
patients who underwent abdominoplasty with musculoaponeurotic plication. The
purpose of this study was to evaluate any potential adverse effect on pulmonary
function by virtue of pulmonary function tests and measurement of peak airway
pressure. The study included 43 multiparous, morbidly obese women (mean body
mass index, 35.8 kg/m2) with a mean age (+/- SD) of 38.6 +/- 7 years. All had
full abdominoplasty and repair of the musculoaponeurotic system during the
period from June of 1999 to May of 2002. Forty-three morbidly obese multiparous
patients were seen over a period of 24 months. Their intraabdominal pressure was
estimated by measuring the intravesical pressure before and after repair of
severe diastases (divarication) of the rectus abdominis muscles with severely
flaccid myofascial component before using a hydrometer connected to a Foley
catheter both before and after repair. All patients had pulmonary function
checked before and 2 months after the repair. The study confirmed that there are
minimal changes on the intraabdominal pressure parameters compared with
measurement before and after full abdominoplasty with plication of the rectus
muscles, with minimal to negligible changes in the intrathoracic pressure. These
changes are clinically and statistically significant (p < 0.0001). The study
also recommended the safety of full abdominoplasty and repair of the
musculoaponeurotic system in multiparous and morbidly obese patients.
Furthermore, no statistically significant difference was found in pulmonary
function parameters before and after surgery in patients with a history of
bronchial asthma.
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