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Feasibility of abdominoplasty with Cesarean section

Authors Thabet WN, Hossny AS, Sherif NA

Received 21 December 2011

Accepted for publication 1 February 2012

Published 16 March 2012 Volume 2012:4 Pages 115—121


Review by Single-blind

Peer reviewer comments 2

This paper has been retracted.
Wael Naeem Thabet1, Ahmad Samir Hossny1, Nadine Alaa Sherif2

1Department of General Surgery, 2Department of Obstetrics and Gynecology, Cairo University, Cairo, Egypt

Abstract: Abdominoplasty is an esthetic surgical procedure that restores abdominal contouring. Repeated pregnancies combined with advancing maternal age usually lead to lower abdominal skin redundancy and excess fat accumulation. Delivery via Cesarean section adds weakness to the lower abdominal wall muscles and yields a lower transverse Cesarean scar. Some patients request whether abdominoplasty can be performed with Cesarean section in the same setting, to avoid a future surgery. This study was designed to evaluate the outcome of combined abdominoplasty with Cesarean section. The study included 50 pregnant women from September 2009 to June 2010 with an average follow-up period of 9 months. Nine patients (18%) developed wound infection; three of them (6%) developed wound dehiscence. Six patients (12%) developed lower abdominal skin necrosis; three of them (6%) were treated conservatively and healed by secondary intention, while surgical debridement and secondary sutures were needed in the other three patients (6%). Residual abdominal skin redundancy in nine patients (18%), outward bulging of the abdomen and lack of waist definition in 16 patients (32%), and outward bulging of the umbilicus in twelve patients (24%) were the reported unesthetic results. The results were compared with results of 80 abdominoplasties in nonpregnant women.

Keywords: abdominoplasty, Cesarean section, pregnancy

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