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Apparatus to hold the panniculus up during abdominoplasty
Muscular hernia, obesity, lipodystrophy, flaccidity of assorted etiology of the abdominal wall (e.g., multiple gestations), and other reasons in minor frequency have been the indications for abdominoplasty since the last years of the nineteenth century.
A great number of techniques have been published since then and many of them with important surgical maneuvers like the aponeurotic muscle reinforcement, transposition, or navel reconstruction became classical techniques and were adopted by the great majority of surgeries of this type. For the last 20 years, liposuction has been mostly indicated apart or associated to abdominoplasties.
Probably a great number of important assignments from highly regarded surgeons have not been mentioned here. The intention of the present publication is not to cover all aspects of such a vast subject, but to point out the great number of publications, demonstrating the great interest for the treatment of the abdominal deformities. Many techniques are still used even though more than a hundred years have passed.
I want to thank all my colleagues, even those not mentioned here, that have contributed with their own knowledge and experience and are still trying hard in one way or another to improve the resources of plastic surgery.
In this chapter a chronological list of important contributions in this field of plastic surgery is described, since 1890 until 2002.
The author presents a surgical technique that he has used since 1964, where the excess of the abdominal wall is excised in monobloc and ab-initio, geometrically planned, after simple and previous clinical evaluation. This strict geometrical approach, besides facilitating and making easier the undermining of the supraumbilical flap and hemostasis, shortens the operating time, providing precise references for the final suture.
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