{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T10:24:58Z","timestamp":1747045498679},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  Objective: to validate an algorithm for the choice of the abdominoplasty surgical technique among the five approaches established in the literature, according to the characteristics of the abdominal wall.  Methods:  we conducted a retrospective study of 245 patients undergoing abdominoplasty, for whom the method of choice of the surgical technique was the proposed algorithm, based on the degree of abdominal flaccidity determined by bimanual maneuver. We studied its applications and conveniences, as well as the complications inherent in each group studied.  Results:  according to the algorithm used, the most frequently chosen technique was \u201cTechnique IV\u201d (transverse dermolipectomy of Pitanguy - or with a Baroudi-Kepke incision), in 25.71% of the cases. \u201cTechnique I\u201d (mini abdominoplasty) had the lowest incidence and the lowest rate of complications. On the opposite, \u201cTechnique III\u201d, dermolipectomy with remaining vertical scarring, presented a higher incidence of complications, requiring extreme caution in its indication, particularly in relation to patients\u2019 expectations regarding the resulting scar and its legal aspects. Among all conducts, the most frequent complication was seroma, with a 10.2% occurrence, solved by simple syringe aspiration and use of elastic compression mesh.  Conclusion: the proposed algorithm facilitated the choice of abdominoplasty techniques, offering satisfactory results, which are in line with the complication rates published in the world literature.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181394","type":"journal-article","created":{"date-parts":[[2018,5,28]],"date-time":"2018-05-28T14:10:45Z","timestamp":1527516645000},"source":"Crossref","is-referenced-by-count":5,"title":["Use of an algorithm in choosing abdominoplasty techniques"],"prefix":"10.1590","volume":"45","author":[{"given":"J\u00daLIO WILSON","family":"FERNANDES","sequence":"first","affiliation":[{"name":"Positivo University,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RENATA","family":"DAMIN","sequence":"additional","affiliation":[{"name":"Evangelical University Hospital of Curitiba,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MARCOS VIN\u00cdCIUS NASSER","family":"HOLZMANN","sequence":"additional","affiliation":[{"name":"Evangelical University Hospital of Curitiba,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GABRIEL GOMES DE OLIVEIRA","family":"RIBAS","sequence":"additional","affiliation":[{"name":"Evangelical University Hospital of Curitiba,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,5,24]]},"reference":[{"key":"ref1","series-title":"Cirurgia pl\u00e1stica bases e refinamentos","author":"Fernandes JW","year":"2012","edition":"2"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.1007\/s11695-007-9235-7","article-title":"Abdominoplasty after weight loss in morbidly obese patients a 4-year clinical experience","volume":"17","author":"Fraccalvieri M","year":"2007","journal-title":"Obes Surg"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1055\/s-2006-932443","article-title":"The history of body contouring surgery","volume":"20","author":"O'Toole JP","year":"2006","journal-title":"Semin Plast Surg"},{"key":"ref4","series-title":"Cirurgia pl\u00e1stica do abdome","author":"Sinder R","year":"1979"},{"issue":"1","key":"ref5","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/S1071-0949(96)80044-8","article-title":"Classification and patient selection in abdominoplasty","volume":"3","author":"Matarasso A","year":"1996","journal-title":"Plast Reconst Surg"},{"key":"ref6","series-title":"Aesthetic plastic surgery of the abdomen","author":"Di Giuseppe A","year":"2015"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/j.asj.2005.05.003","article-title":"Does lipoplasty really add morbidity to abdominoplasty Revisiting the controversy with a series of 406 cases","volume":"25","author":"Stevens WG","year":"2005","journal-title":"Aesthet Surg J"},{"issue":"5","key":"ref8","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/00000637-199011000-00001","article-title":"Abdominoplasty combined with suction lipoplasty a study of complications, revisions, and risk factors in 487 cases","volume":"25","author":"Dillerud E","year":"1990","journal-title":"Ann Plast Surg"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1007\/s00266-003-3016-z","article-title":"Lipoabdominoplasty with selective and safe undermining","volume":"27","author":"Saldanha OR","year":"2003","journal-title":"Aesth Plast Surg"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1097\/00006534-198812000-00008","article-title":"Abdominoplasty a new concept and classification for treatment","volume":"82","author":"Bozola AR","year":"1988","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"ref11","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1007\/s00266-009-9407-z","article-title":"Abdominoplasty same classification and a new treatment concept 20 years later","volume":"34","author":"Bozola AR","year":"2010","journal-title":"Aesthetic Plast Surg"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1097\/00006534-198703000-00006","article-title":"The mini-abdominoplasty","volume":"79","author":"Greminger RF","year":"1987","journal-title":"Plast Reconstr Surg"},{"key":"ref13","series-title":"Cirurgia pl\u00e1stica - Os princ\u00edpios e a atualidade","first-page":"9","volume-title":"Cicatriza\u00e7\u00e3o patol\u00f3gica: diagn\u00f3stico e tratamento","author":"Souto C","year":"2011"},{"key":"ref14","series-title":"Reconstructive plastic surgery; 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