Benefits and disadvantages of the abdominoplasty with Scarpa Fascia preservation

Abstract

Objective: To evaluate the benefits and benefits of the Scarpa fascia preservation technique in abdominoplasty surgeries. Methods: An integrative review was conducted on National Library of Medicine (PubMed) and Portal Regional da Biblioteca Virtual em Saúde (PR-BVS) databases. The descriptors index used were “Abdominoplasty” AND “Scarpa fascia”. The inclusion criteria consisted in observational studies and controlled clinical trials, available in English, Portuguese or Spanish. The exclusion criteria used were duplicate studies and articles that deviated from the main topic. The universe consisted of 11 scientific studies. Results: The reduction of the amount of drain output, time to drain removal, hospital stay, and incidence of seroma were considered relevant. However, the difficulty in accessing the operative plane and the lack of significant improvement in abdominal perfusion when using infrared fluorescence imaging are possible limitations of the technique. Conclusion: It was possible to verify that the superficial dissection plane is mostly advantageous through the correct alignment of expectations. Decision-making must consider both important aspects for the patient as well as surgical issues observed by the physician.