Pregnancy after transverse plication lipoabdominoplasty, undermining halted at umbilicus, liposuction without restrictions, umbilicoplasty with a skin graft, and low transverse scar localization (TULUA). Literature review and case report.

Q3 Medicine
Francisco Javier Villegas-Alzate, José Daniel Villegas-Mesa
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引用次数: 4

Abstract

Objective: To report the case of a pregnant woman with a history of transverse plication abdominoplasty (TULUA) and to conduct a review of the available literature on the impact of this intervention on the course of gestation and vice versa.

Methods: Case report of a 23-year-old pregnant woman with a history of TULUA abdominoplasty performed eight months before pregnancy. A literature search was conducted in Medline, Cochrane Library, SciELO, LILACS, BVS and Google Scholar, with no restriction by language or date of publication. Studies of any design were included, including case reports. Book chapters and clinical practice guidelines were excluded.

Results: Overall, 1,158 studies were identified, of which 13 case reports or case series met the inclusion and exclusion criteria, for a total of 111 patients. No reports of TULUA before pregnancy were found. Age at the time of delivery ranged between 19 and 37 years and all births were at term, with newborns of adequate birth weight. Eleven studies described the route of delivery, including 7 cases of cesarean section and 4 vaginal deliveries. Two studies described the development of cervical prolapse, one at 15 weeks of gestation and the second at the time of labor. Three patients experienced impaired abdominal wall nerve block during the cesarean section. Regarding cosmetic results after delivery, there is a paucity of data about potential relapse in the form of skin laxity or diastasis. However, satisfactory cosmetic results were reported in two cases.

Conclusions: There is a paucity of literature on the topic of pregnancy following abdominoplasty, and it is limited to case reports. The literature suggests that abdominoplasty could increase the frequency of cervical prolapse and cesarean section, although the impact on perinatal outcome is not clear. It appears that abdominal wall repair is maintained. Additional studies focusing on perinatal outcomes in women with abdominoplasty and the impact of gestation on the results of the intervention are required.

妊娠后的横向应用腹部脂肪成形术,破坏停止在脐部,无限制吸脂,脐成形术与皮肤移植,低横向瘢痕定位(TULUA)。文献复习及病例报告。
目的:报告一例有横向应用腹部成形术(TULUA)史的孕妇,并对现有文献进行回顾,探讨这种干预对妊娠过程的影响,反之亦然。方法:报告一例23岁孕妇,妊娠前8个月行TULUA腹部成形术。在Medline、Cochrane Library、SciELO、LILACS、BVS和Google Scholar中进行文献检索,不受语言和出版日期的限制。包括任何设计的研究,包括病例报告。书籍章节和临床实践指南被排除在外。结果:共纳入1158项研究,其中13例病例报告或病例系列符合纳入和排除标准,共纳入111例患者。未发现妊娠前发生TULUA的报告。分娩时的年龄在19至37岁之间,所有分娩都是足月,新生儿出生体重足够。11项研究描述了分娩方式,包括7例剖宫产和4例阴道分娩。两项研究描述了宫颈脱垂的发展,一项在妊娠15周,另一项在分娩时。3例患者在剖宫产术中出现腹壁神经阻滞受损。关于分娩后的美容结果,缺乏关于皮肤松弛或转移形式的潜在复发的数据。然而,有两例报告了满意的美容效果。结论:关于腹部成形术后妊娠的文献很少,仅限于病例报道。文献提示,腹部成形术可增加宫颈脱垂和剖宫产的发生频率,但对围产儿结局的影响尚不清楚。看来腹壁修复得到了维持。需要进一步研究腹部成形术妇女的围产期结局以及妊娠对干预结果的影响。
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来源期刊
Revista Colombiana de Obstetricia y Ginecologia
Revista Colombiana de Obstetricia y Ginecologia Medicine-Obstetrics and Gynecology
CiteScore
1.00
自引率
0.00%
发文量
21
审稿时长
20 weeks
期刊介绍: The Revista Colombiana de Obstetricia y Ginecología was founded in January 1949. It is the Federación Colombiana de Asociaciones de Obstetricia y Ginecología"s official periodic publication (formerly known as the Sociedad Colombiana de Obstetricia y Ginecología). It is published quarterly and the following abbreviation should be used when citing the journal: Rev. Colomb. Obstet. Ginecol. The publication is authorized by Mingobierno resolution 218/1950.
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