DOI QR코드

DOI QR Code

Predicting lipoabdominoplasty complications with infrared thermography: a delta-R analysis

  • Resende, Patricia Rodrigues (Postgraduate Program in Thermology and Medical Thermography, Hospital das Clinicas, Faculty of Medicine, University of Sao Paulo) ;
  • Brioschi, Marcos Leal (Postgraduate Program in Thermology and Medical Thermography, Hospital das Clinicas, Faculty of Medicine, University of Sao Paulo) ;
  • Meneck, Franciele De (School of Medicine, Federal University of Sao Paulo) ;
  • Neves, Eduardo Borba (Graduate Program in Biomedical Engineering, Federal Technological University of Parana) ;
  • Teixeira, Manoel Jacobsen (Postgraduate Program in Thermology and Medical Thermography, Hospital das Clinicas, Faculty of Medicine, University of Sao Paulo)
  • Received : 2021.01.16
  • Accepted : 2021.05.27
  • Published : 2021.09.15

Abstract

The diagnosis of the main complications resulting from lipoabdominoplasty has not yet been standardized. Infrared thermal imaging has been used to assess possible complications, such as necrosis and changes in micro- and macro-circulation, based on perforator mapping techniques, among others. The objective of this study was to present two clinical cases involving thermal imaging monitoring of the healing process of lipoabdominoplasty in the immediate postoperative evaluation and its preliminary results. Infrared thermography was performed 24 hours after the operation and on postoperative days 5, 25, and 27. In clinical case 1, it was found that the delta-R (∆TR)-defined as the difference in minimum temperature between the highest and lowest points in the SA3 region (caution suction area) following the classification established by Matarasso-was 0.4℃ at 24 hours after surgery and decreased to 0.1℃ on a postoperative day 5. There were no complications in this case. In contrast, in clinical case 2, the ∆TR was 1.7℃ at 24 hours after surgery (upon hospital discharge) and remained high, at 2.2℃, on postoperative day 5. A higher ∆TR was found in the second patient, who developed necrosis of the surgical wound. The ∆TR thermal index may be a new tool for predicting possible complications, complementing the clinical evaluation and therapeutic decision-making.

Keywords

References

  1. Fonseca A, Ishida LH. 2018 Census of the Brazilian Society of Plastic Surgery-Situacao da Cirurgia Plastica no Brasil [Internet]. Sao Paulo: Brazilian Society of Plastic Surgery; c2018 [cited 2020 Set 20]. Available from: http://www2.cirurgiaplastica.org.br/wp-content/uploads/2019/08/Apresentac%CC%A7a%CC%83o-Censo-2018_V3.pdf.
  2. Ardehali B, Fiorentino F. A meta-analysis of the effects of abdominoplasty modifications on the incidence of postoperative seroma. Aesthet Surg J 2017;37:1136-43. https://doi.org/10.1093/asj/sjx051
  3. Saldanha OR, Ordenes AI, Goyeneche C, et al. Lipoabdominoplasty with anatomic definition: an evolution on Saldanha's technique. Clin Plast Surg 2020;47:335-49. https://doi.org/10.1016/j.cps.2020.03.004
  4. Di Martino M, Nahas FX, Barbosa MV, et al. Seroma in lipoabdominoplasty and abdominoplasty: a comparative study using ultrasound. Plast Reconstr Surg 2010;126:1742-51. https://doi.org/10.1097/PRS.0b013e3181efa6c5
  5. Xia Y, Zhao J, Cao DS. Safety of lipoabdominoplasty versus abdominoplasty: a systematic review and meta-analysis. Aesthetic Plast Surg 2019;43:167-74. https://doi.org/10.1007/s00266-018-1270-3
  6. Serup J, Jemec BE, Grove GL. Handbook of non-invasive methods and the skin. Boca Raton: CRC Press; 2006.
  7. Cifuentes IJ, Dagnino BL, Salisbury MC, et al. Augmented reality and dynamic infrared thermography for perforator mapping in the anterolateral thigh. Arch Plast Surg 2018; 45:284-8. https://doi.org/10.5999/aps.2017.01375
  8. Hennessy O, Potter SM. Use of infrared thermography for the assessment of free flap perforators in autologous breast reconstruction: a systematic review. JPRAS Open 2019;23: 60-70. https://doi.org/10.1016/j.jpra.2019.11.006
  9. Nogueira CHFV. Evaluacion comparativa pre y postoperatoria de la circulacion cutanea de la pared abdominal por termografia infrarroja en cirugia plastica el efecto del despegamiento en el colgajo abdominal [doctoral thesis]. Universitat Autonoma de Barcelona: Barcelona; 2013.
  10. Brasil S, Renck AC, de Meneck F, et al. A systematic review on the role of infrared thermography in the brown adipose tissue assessment. Rev Endocr Metab Disord 2020;21:37-44. https://doi.org/10.1007/s11154-020-09539-8
  11. Matarasso A. Classification and patient selection in abdominoplasty. Oper Tech Plast Reconstr Surg 1996;3:7-14. https://doi.org/10.1016/S1071-0949(96)80044-8
  12. Levine D, Walker JR, Marcellin-Little DJ, et al. Detection of skin temperature differences using palpation by manual physical therapists and lay individuals. J Man Manip Ther 2018;26:97-101. https://doi.org/10.1080/10669817.2018.1427908
  13. Rangaswamy M. Minimising complications in abdominoplasty: an approach based on the root cause analysis and focused preventive steps. Indian J Plast Surg 2013;46:365-76. https://doi.org/10.4103/0970-0358.118615