Continuous Running Sutures: A Modification for Progressive Tension Abdominoplasty

Continuous running sutures: a modification for progressive tension abdominoplasty.

Use of absorbable running barbed suture and progressive tension technique in abdominoplasty: a novel approach.

Certain general principles regarding abdominoplasty have remained constant throughout the last century, although incision patterns, fascial repair, and fatty contour techniques have varied. What has remained constant has been the use of a layered closure technique for final wound approximation, including in most cases the closure of Scarpa’s fascia, popularized by the work of Lockwood.1 Controv...

Demystifying high-lateral-tension abdominoplasty.

The author clarifies "high-lateral-tension abdominoplasty" (HLT), a procedure based on the premise that the greatest abdominal excess is usually in the lateral abdomen and that tightening of lateral excess is what most improves contour the central abdomen. While the classic approach improves contour by pulling inferiorly on the central abdomen, thereby creating the highest tension along the cen...

Reducing seroma in outpatient abdominoplasty: analysis of 516 consecutive cases.

BACKGROUND Over the past 30 years, the preferred techniques and settings for abdominoplasty have evolved considerably, but controversy remains regarding the surgical and postoperative approaches that best limit serious complications such as seroma. OBJECTIVE The authors evaluate their 28-year experience with abdominoplasty and suggest a technique (progressive tension sutures without placement...

Lipoabdominoplasty with Progressive Traction Sutures

BACKGROUND Proactively preserving Scarpa's fascia and thus its intrinsic lymphatic drainage and tensile strength for suture placement can eliminate the need for drains after lipoabdominoplasty and therefore reduce the rate of seroma development. In this article, we describe the effectiveness of a modified progressive traction suture (PTS) technique, which enables us to lessen the most common co...