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TULUA Lipoabdominoplasty: Transversal Aponeurotic Plication, No Undermining, and Unrestricted Liposuction. A Multicenter Study of 845 Cases.
- Source :
-
Plastic and reconstructive surgery [Plast Reconstr Surg] 2021 Dec 01; Vol. 148 (6), pp. 1248-1261. - Publication Year :
- 2021
-
Abstract
- Background: TULUA (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar) is the acronym for a radically different lipoabdominoplasty, intended to add simplicity, improve vascular safety, and attain good results. Modifications are unrestricted liposuction, no flap detachment, massive transverse infraumbilical plication, umbilicus amputation, neoumbilicoplasty, diminished tension wound closure, and low transverse scar settlement. The objectives of this article are to describe the technique and analyze a multicenter experience.<br />Methods: Sixty-eight plastic surgeons from 10 countries provided data for a retrospective review of 845 patients. Aesthetic results were scored by each surgeon using the Salles scale and analyzed in combination with complications to identify associations between patient and surgery characteristics.<br />Results: Of the patients, 95.5 percent were female, 19.7 percent were obese, 35.6 percent had prior scars, 10.4 percent had undergone previous abdominoplasty, 6.5 percent were postbariatric, and 6.6 percent were smokers. One patient had a kidney transplant, and 16.5 percent had comorbidities. Surgery characteristics varied widely, being on average as follows: lipoaspirate, 2967 ml; resection, 1388 g; and surgical time, 3.9 hours; 46.5 percent were not hospitalized. Averaged results were 8.68 of 10 points, besides adequate positioning and proportion of scar and umbilicus, without epigastric compensatory bulging (4.97 of 6 points). Overall complications were 16.2 percent, mostly seroma (8.8 percent); vascular-related complications (i.e., necrosis, wound dehiscence, and infection) constituted 2.7 percent. There were no fatalities. The logistic regression model demonstrated that smoking and obesity duplicate the risk of complications; if age older than 60 years is added, the risk of complication increases seven to nine times. Reported indications were multiple; however, pathologic diastasis was excluded.<br />Conclusion: TULUA lipoabdominoplasty is a new reproducible procedure with good quantified results and an acceptable complication rate.<br />Clinical Question/level of Evidence: Therapeutic, IV.<br /> (Copyright © 2021 by the American Society of Plastic Surgeons.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cicatrix etiology
Cicatrix prevention & control
Esthetics
Female
Follow-Up Studies
Humans
Lipoabdominoplasty adverse effects
Male
Middle Aged
Postoperative Complications etiology
Postoperative Complications prevention & control
Reproducibility of Results
Retrospective Studies
Treatment Outcome
Young Adult
Cicatrix epidemiology
Lipoabdominoplasty methods
Postoperative Complications epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1529-4242
- Volume :
- 148
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 34644270
- Full Text :
- https://doi.org/10.1097/PRS.0000000000008577