Surgery of abdomen
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The surgery of abdomen is done aiming the correction of skin flaccidity, of the subcutaneous greasy tissue and of the muscles of the abdomen.
That flaccidity usually occurs after pregnancies, consecutive process of loss of weight/grows fat and due to the ageing of the tissues.
It can be classified in Totall or Partial (Mini-surgery), varying according to the need of removal of skin and greasy tissues.
After anesthesia, a cross and arched incision in the skin is done, in the lower region of the abdomen. The dissection of the skin and subcutaneous musculature greasy tissue is done. The bloody veins are cauterized. The muscular flaccidity is corrected through a king of sewing in the abdominal musculature. The excess of skin and greasy tissue is removed. In the total surgery, the umbilical scar is redone.
A prudent prudent suture is done, reconstructing the tissues.
For people with flaccidity of abdominal skin, associated or not to the excess of fatness and to the flaccidity of the abdominal musculature.
In cases of flaccidity only in the lower abdomen (below the navel) and little accumulated fatness, is indicated the mini-surgery (partial surgery of abdomen)
Habitually, the anesthesia is local with sedation (intravenuous medicine that provide the sleep); in some cases, general. Lasts approximately the time of the surgery.
About de 3 h., in the conventional ones.
Habitually, 12 hours.
It´s usually tranquil. The abdomen stayed bandaged in the first 24 hours, and after this period an abdominal girdle must be used. The pain is easily controllable with common painkillers. Usually, remains with an abdominal drain for 5 days. It must relative rest be maintained by approximately 10 days. There is need of walk with the log lightly arched by 15 days. Bandages in the scar for 2 months are done, and exists the need of the use of appropriate girdle also for 2 months.
The complications include post-operative bleeding, wound, infection, opening of the scar, change of the lower eyelid, between other. The rates are very reduced, when observed all the prescribed post-operative cares.
The opening of scars, not aesthetic scars, local hardening, numbness of the abdominal wall can occur, being all accommodating.
As all the surgeries, the anaesthetic and sistemic risks still exist. They have to be well should researched in pre-operative phase. Those complications has been less and less frequent with the evolution of the techniques and of the medicine.
Around a month occurs the reabsorption from most of the swelling, giving good notion of how the abdomen will stay.
From the 30th day to the 6th month, the abdomen earns bigger harmony by the absorption of the internal scarring that is formed in substitution to the swelling.
The scars are only considered as definitive after the 12th month.
1. Food:
The food after surgery should be gentle to avoid nauseas. The next day, the diet should be rich in fibers in small quantities to each meal, for avoid the gastric distension.
2. Positions:
The rest is relative, being bigger in the first day. Subsequently, are just necessary small walks inside home.
3. Baths:
The bandage surgical will not be able to be wet in the first 7 days, so that the bath in this period should be taken of little shower and with humid compresses.4. Cares with the drain:
5. Girdles and bodices:
Should be uninterruptedly used by, on average, 60 days. If necessary wash it, withdraw them in position laid down and like this remain, to that the they be found dry to be put again.6. Medication:
They will be prescribed common painkillers, by a medium period of 5 days. In some cases, antibiotics can be needed.7. Returns:
The first return is done after 5 days of the surgery for the remove of the drain. Returns once again with 7 days from post-operative, and, after this period, the returns are weekly for 30 days , fortnightly to the 2th month, and monthly to the 4th month.
Those frequencies can be altered according to the clinical need.