The Management of Mild Skin Laxity in Post-Gravidic Diastasis Recti: A Retrospective Cohort Study Comparing Mini-Inverted-T and Mini-Abdominoplasty With BODY-Q.

IF 0.7 4区医学 Q4 SURGERY

Plastic surgery Pub Date : 2025-06-30 DOI:10.1177/22925503251350892

Marco Morelli Coppola, Valeria Petrucci, Felicia Geanina Grosu, Vito Toto, Stefania Tenna, Beniamino Brunetti, Paolo Persichetti

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引用次数: 0

Abstract

Introduction: Post-gravidic diastasis recti is corrected with conventional abdominoplasty in patients with adequate skin laxity. For unsuitable patients, other procedures are considered.

Methods: A retrospective review was conducted on patients undergoing mini-abdominoplasty or mini-inverted-T abdominoplasty from 2019 to 2023 at our institution, excluding overweight and post-bariatric patients. Patient-reported outcomes were evaluated using the BODY-Q questionnaire, administered one year postoperatively. Two plastic surgeons assessed pre and postoperative photographs, rating cosmetic outcomes on a Likert scale. Complication rates were also compared.

Results: A total of 64 patients had mini-abdominoplasty and 73 underwent mini-inverted-T abdominoplasty. The groups were similar in age, pregnancies, and smoking habit (P > .05). The mini-abdominoplasty group had a lower mean BMI (20.81 ± 1.69 vs 21.44 ± 1.58 kg/m²; P = .028) and narrower mean diastasis (4.65 ± 1.10 vs 5.08 ± 1.19 cm; P = .031). Mini-abdominoplasty patients reported lower satisfaction with abdomen (59.47 ± 33.82 vs 69.82 ± 25.48; P = .158) and skin excess (74.13 ± 28.50 vs 83.23 ± 25.04; P = .157), but better outcomes in body contouring scars (73.25 ± 27.61 vs 64.56 ± 32.17; P = .232). Multivariate analysis confirmed higher score satisfaction with abdomen scale in the mini-inverted-T group (P < .028). Surgeons rated scar quality (6.94 ± 1.17 vs 5.51 ± 1.25, P < .001) and symmetry (6.44 ± 1.17 vs 5.42 ± 1.36, P < .001) higher for the mini-abdominoplasty group, while profile (6.72 ± 1.20 vs 8.23 ± 1.17, P < .001) and overall appearance (6.53 ± 1.07 vs 7.66 ± 1.07, P < .001) were rated higher for the mini-inverted-T group. Complications and revision rate did not differ statistically between the groups.

Conclusions: Both procedures are viable options for selected patients with advantages and limitations that should be discussed to align with patients' characteristics and expectations. Mini-inverted-T scar abdominoplasty is recommended unless the patient is more concerned about scars rather than the overall abdominal shape and profile.

Level of evidence: III.

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妊娠后直肠转移轻度皮肤松弛的处理：一项比较mini -倒t和mini -腹成形术与BODY-Q的回顾性队列研究。

摘要：对于皮肤松弛的患者，采用常规的腹部成形术来矫正妊娠后直肠移位。对于不合适的患者，可以考虑其他手术。方法：回顾性分析我院2019 - 2023年接受小腹成形术或小倒t型腹成形术的患者，不包括超重和肥胖后患者。患者报告的结果使用BODY-Q问卷进行评估，并在术后一年给予。两名整形外科医生评估了术前和术后的照片，用李克特量表对美容效果进行评分。并比较并发症发生率。结果：64例患者行小腹成形术，73例行小t型腹成形术。两组在年龄、妊娠、吸烟习惯等方面差异无统计学意义（P < 0.05）。小腹成形术组平均BMI较低（20.81±1.69 vs 21.44±1.58 kg/m2）；P = 0.028)和较窄的平均转移(4.65±1.10 vs 5.08±1.19 cm；p = .031)。小腹成形术患者的腹部满意度较低（59.47±33.82 vs 69.82±25.48）；P = 0.158)和皮肤过多(74.13±28.50 vs 83.23±25.04；P = .157)，但身体轮廓疤痕的效果更好(73.25±27.61 vs 64.56±32.17；p = .232)。多变量分析证实，迷你倒t组的腹部量表评分满意度更高（P P P P P P P）。结论：两种手术都是可行的选择，对所选患者具有优势和局限性，应根据患者的特点和期望进行讨论。除非患者更关心疤痕而不是整个腹部形状和轮廓，否则建议进行迷你倒t型疤痕腹部成形术。证据水平：III。

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来源期刊

Plastic surgery Medicine-Surgery

CiteScore

1.70

自引率

0.00%

发文量

期刊介绍： Plastic Surgery (Chirurgie Plastique) is the official journal of the Canadian Society of Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery, Group for the Advancement of Microsurgery, and the Canadian Society for Surgery of the Hand. It serves as a major venue for Canadian research, society guidelines, and continuing medical education.