Assessment of the effects of plication abdominoplasty on respiratory function

Abstract

Background: Abdominoplasty is a surgical procedure with the aim of creation of an abdomen with normal naval and abdominal wall appearance with least scar. This procedure is accompanied with various complications. Current study aimed to assess the effects of abdominal plication following abdominoplasty on respiratory tract pressure. Methods: This was a census clinical-trial study conducted on 100 patients who had undergone abdominoplasty in Isfahan City, Iran, during 2016-17. Respiratory functions including pulse rate, respirator rare, peak inspiratory pressure, and peak expiratory pressure were assessed in patients prior to and immediately after abdominoplasty. Data were analyzed with using SPSS software. P-value of less than 0.05 was considered significant. Findings: 100 patients including 92 women (92) and 8 men (8) with mean age of 37.77 ± 7.89 years were participated in this study. Mean arterial blood pressure, mean tracheal pressure, systolic blood pressure, diastolic blood pressure, mean blood pressure, and respiratory rate of patients were significantly different prior to and after the surgery (P < 0.05); but pulse rate was not statistically different prior to and after the surgery (P > 0.05). The least tracheal pressure (17 mmH2O) and the most satisfaction (5 out of 5) was achieved with upper abdomen plication of 15 centimeters and lower abdomen plication of 14 centimeters. Conclusion: Tracheal pressure and respiratory rate can be used for assessment of respiratory function immediately after abdominoplasty. Results of the current study showed that the size of plication had significant effect on tracheal pressure, respiratory rate, and patients' satisfaction after abdominoplasty. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.