1. Drenagem Linfatica Manual Pos Operatorio Abdominoplastia En Espanol
2. A Importancia Da Drenagem Linfatica Manual No Pos Operatorio De Abdominoplastia

Materials and Methods:Eighteen women aged between 18 and 60 years participated in this study, in the late PO period following lipoabdominoplasty or liposuction in the abdomen, flanks and lower trunk, which showed tissue fibrosis of the flanks and abdomen regions. They were divided into two groups: Liposuction group and lipoabdominoplasty group. A total of twelve sessions of therapeutic ultrasound followed by the manual lymphatic drainage were performed. The patients were assessed with regard to pain, oedema and tissue fibrosis in different moments: Initial assessment, during assessment and final assessment through the application of the protocol of evaluation of cysts fibrosis levels. INTRODUCTIONIn recent decades, the demand for plastic surgery has gradually increased as well as the concern for the pre-operative and post-operative (PO) periods. MATERIALS AND METHODSThis study is a prospective longitudinal clinical trial approved by the Research Ethics Committee of the Universidade Paulista. All the participants agreed to participate in the study and signed the informed consent form.Eighteen female patients, aged between 18 and 60 years were selected for the study, in the PO period (less T to 1 year — mean: 70,05 days) of liposuction surgery in the abdomen, flanks and lower trunk or lipoabdominoplasty with tissue fibrosis in the flank and abdomen regions.

Drenagem Linfatica Manual Pos Operatorio Abdominoplastia En Espanol

RESULTSInitially, the sample comprised 23 patients; however, during the procedures, there was a sample loss of 5 patients because the treatment was interrupted because these patients did not follow the periodicity agreed. Therefore, the study consisted of 18 patients who complained of tissue fibrosis in the abdomen and flanks in the LG or LAG.The average age was 33.6 years (±6.4); 50% of the women ( n = 9) were married, 33.3% ( n = 6) were single, 11.1% ( n = 2) divorced and 5.6% ( n = 1) widows; education level, 44.4% ( n = 8) with complete higher education, 44.4% ( n = 8) high school and 11.1% ( n = 2) elementary school. The results were described according to the groups as previously determined: 44.4% ( n = 8) represented the LG and 55.6% ( n = 10), the LAG; no statistically significant difference was found between the groups ( P = 0.505).For patients with pain complaints in the LG, there was a statistically significant decrease from IA to FA ( P = 0.002) and a trend towards the significance from DA to FA ( P = 0.055). In the LAG, a statistically significant decrease was observed only from IA to FA ( P = 0.003); however in FA, there was the absence of pain sensation. IA, DA and FA values of the LG and LAG groups and BG for the variable pain, IA: Initial assessment; DA: During assessment; FA: Final assessment; LG: Liposuction group; LAG: Lipoabdominoplasty group; BG: Both groups;.= P. IA, DA and FA values of the LG and LAG groups and the BG for the variable oedema, IA: Initial assessment; DA: During assessment; FA: Final assessment; LG: Liposuction group; LAG: Lipoabdominoplasty group; BG: Both groups;.= P.

A Importancia Da Drenagem Linfatica Manual No Pos Operatorio De Abdominoplastia

IA, DA and FA values of the LG and LAG groups and the BG for the variable tissue fibrosis, IA: Initial assessment; DA: During assessment; FA: Final assessment; LG: Liposuction group; LAG: Lipoabdominoplasty group; BG: Both groups; †= P. In relation to LAG, the IA showed 20% ( n = 2) in L3, 70% ( n = 7) in L2 and 10% ( n = 1) in L1; in DA, L3 was absent, L2 was reduced to 20% ( n = 2) and L1 increased to 60% ( n = 6); the FA showed absence of L3 and of L2; thus, 50% ( n = 5) were in L1 and the other 50% ( n = 5) did not present any sign of tissue fibrosis. In short, the patients who remained with tissue fibrosis, after the proposed procedure, were classified with the lowest degree of tissue fibrosis according to the protocol of evaluation of cysts fibrosis levels; L1, 37.5% ( n = 3) in the LG and 50% ( n = 5) in the LAG. DISCUSSIONThe growing number of plastic surgeries performed has raised considerable concern about the PO care. Consequently, new fields of expertise are being created to develop some specific techniques to ensure a satisfactory aesthetic outcome.In the year 2005, a survey was conducted on the knowledge of the physiotherapeutic practice in liposuction surgery by plastic surgeons.