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Do Compression Garments Prevent Subcutaneous Edema After Abdominoplasty?

医学 腹部成形术 外科 水肿 腰围 血清瘤 静脉淤血 压力袜 统计显著性 麻醉 整形外科 体质指数 内科学 并发症 血栓形成
作者
Betina Zimmermann Fontes de Moraes,Lydia Masako Ferreira,Maria Roberta Cardoso Martins,Lucas Rostom,Hugo Alexandre Sócrates de Castro,Fábio Xerfan Nahas
出处
期刊:Aesthetic Surgery Journal [Oxford University Press]
卷期号:43 (3): 329-336 被引量:5
标识
DOI:10.1093/asj/sjac273
摘要

Abstract Background The main disadvantages of wearing a compression garment following abdominoplasty are the increase in intra-abdominal pressure and risk of venous stasis. On the one hand, the wearing of garments may increase the risk of venous thromboembolism. On the other hand, it may be beneficial in decreasing edema formation after surgery. Objectives The authors sought to evaluate the effectiveness of compression garments in reducing subcutaneous edema after abdominoplasty. Methods Thirty-two women aged 19 to 50 years were selected and randomly allocated to either the garment (n = 16) or no-garment (n = 16) group. All patients underwent abdominoplasty and received 10 sessions of manual lymphatic drainage during the postoperative period. Postoperative edema formation was assessed by perimetry and bioimpedance, and seroma formation was assessed by ultrasound. Statistical tests included t test, mixed linear models, analysis of variance with repeated measures, and the Kolmogorov-Smirnov test, which were performed at a significance level α of .05 (P ≤ .05). Results The no-garment group showed a trend toward lower mean waist circumference at 29 days following abdominoplasty and significantly lower waist circumference after postoperative day 35 compared with the garment group (P < .001). The mean total body water was slightly lower in the no-garment group than in the garment group 7 days after surgery (P = .05). Conclusions Patients who did not wear a compression garment after abdominoplasty showed less subcutaneous edema formation after 24 days of surgery than those who wore the garment.
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