scarpa’s fascia
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2021 ◽  
Vol 6 (2) ◽  
pp. 233-242
Author(s):  
G.I. Elhabaa ◽  
M.A. Mansour ◽  
M.O. Mohammed ◽  
M.T. Younes ◽  
A.M. Abdelmofeed


2021 ◽  
Vol 11 (02) ◽  
pp. 37-48
Author(s):  
Ali Alrida Rahal ◽  
Sinan Alboudi ◽  
Mhd Husam Alhilbawi ◽  
Mohamad Raghid Hasan ◽  
Anwar Alhassanieh


2020 ◽  
Vol 34 (S1) ◽  
pp. 1-1
Author(s):  
Margaret I. Hall ◽  
Jeffrey H. Plochocki ◽  
Ana Suarez-Venot ◽  
Jose R. Rodriguez-Sosa ◽  
Gina M. Voegele


2019 ◽  
Vol 44 (2) ◽  
pp. 453-454
Author(s):  
Osvaldo Saldanha ◽  
Carlos Goyeneche ◽  
Andrés I. Ordenes ◽  
Cristianna Bonetto Saldanha


2019 ◽  
Vol 7 (7) ◽  
pp. e2302
Author(s):  
Mahmoud Eltantawy ◽  
Ayman Elshobaky ◽  
Waleed Thabet ◽  
Sameh Emile ◽  
Mohammed El-Said ◽  
...  




2018 ◽  
Vol 39 (8) ◽  
pp. 863-872 ◽  
Author(s):  
Shana S Kalaria ◽  
Joshua Henderson ◽  
Clayton L Moliver

Abstract Background Various theories exist to explain the etiology of iatrogenic symmastia. Subglandular over-dissection of the medial breast pocket over the sternum, disruption of midline sternal fascia, oversized implant base diameter, and over-dissection of the medial pectoralis muscle attachments to the sternum are popular explanations. Objectives The authors hypothesized that the most common risk factor for iatrogenic symmastia is subpectoral breast augmentation. Methods A retrospective chart review was conducted including all symmastia patients who underwent surgery from January 2008 to April 2018 by a single surgeon (C.L.M.). ASAPS members were also surveyed regarding the etiology and incidence of symmastia in their practice. Results Twenty-three patients with symmastia were included in the retrospective chart review. All had previous subpectoral breast augmentation. In the ASAPS survey, 91 plastic surgeons reported seeing an average of 2.2 consults for acquired symmastia over the preceding year; 1.9 of the 2.2 (84.9%) acquired symmastia consults previously underwent subpectoral breast augmentation. Most surgeons attributed these patients’ symmastia to over-dissection of the medial pectoralis muscle attachments to the sternum. Conclusions Symmastia is most often caused by pectoralis major sternal dehiscence during subpectoral breast augmentation. In the senior author’s experience, all patients with iatrogenic symmastia previously had a submuscular breast augmentation. The ASAPS survey supports multiple causes for symmastia with retromuscular breast augmentation occurring in the majority of patients. Repair of symmastia should include securing Scarpa’s fascia to the sternum, reattaching the pectoralis major to the sternum, avoiding another subpectoral implant, and using postoperative modalities to protect the repair. Level of Evidence: 4



2018 ◽  
Vol 6 (1) ◽  
pp. 82-84 ◽  
Author(s):  
Alberto Goldman ◽  
Uwe Wollina ◽  
Katlein França ◽  
Georgi Tchernev ◽  
Torello Lotti

Abdominoplasty is listed among five most common esthetic surgical procedures in the Western World. Despite all efforts, abdominoplasty bears a high risk of complications. We observed a 39-year-old-woman with previous classical abdominoplasty performed elsewhere three years ago. Clinical examination demonstrated a swollen and tense abdominal mass. Laboratory findings were normal. Clinical examination was completed by abdominal ultrasonography which demonstrated both, a significant fluid volume in this area and a dense fibrous “capsule”. The diagnosis was a late or chronic encapsulated seroma with a thick pseudocapsule or “bursa”. We performed a revision abdominoplasty with a standard supra-fascial dissection. Surgical resection of infra-umbilical flap containing skin, subcutaneous tissue and capsulectomy were performed under general anaesthesia. A new umbilicus was created attaching small skin flaps in the muscular fascia. No drains were used. We observed no seroma formation. Follow up after six and ten months was unremarkable. The fibrous pseudocapsule of chronic seroma results in different degrees of deformities, abdominal scar deviation and asymmetry. Surgical capsulectomy combined with revision abdominoplasty with preservation of Scarpa’s fascia and placement of progressive tension sutures resulted in being effective and leads an esthetic outcome without seroma recurrence.



2018 ◽  
Vol 37 (2) ◽  
pp. 260 ◽  
Author(s):  
MohamedH El-Meligy ◽  
MahmoudA Shahin ◽  
MahmoudG Hagag
Keyword(s):  


2016 ◽  
Vol 36 (7) ◽  
pp. 852-857 ◽  
Author(s):  
David Whiteman ◽  
Gabriele C. Miotto


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