Sensibilidade cutânea do abdome após abdominoplastia
Arquivos
Data
2004
Autores
Farah, Andréia Bufoni 
Orientadores
Nahas, Fabio Xerfan
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Objetivo: O objetivo desse estudo foi avaliar e mapear a sensibilidade do abdome após abdominoplastia.Métodos: Estudou-se a sensibilidade ao toque superficial, dor superficial, temperatura, vibração e pressão em quarenta pacientes, do sexo feminino, divididas em dois grupos de 20 pacientes cada. As pacientes do grupo controle não tinham cirurgias abdominais prévias. No grupo experimental, foram avaliadas pacientes que se submeteram a abdominoplastia. A avaliação foi realizada de 12 a 60 meses após a cirurgia, com uma média de 31.5 meses. Esses pacientes do grupo experimental foram divididos em 2 subgrupos com 10 pacientes cada, com seguimento pós-operatório curto (12 a 30 meses) e com seguimento pós-operatório longo (30 a 60 meses). Para testar a sensibilidade dividiu-se o abdome em doze regiões, sendo 9 regiões superiormente à incisão de abdominoplastia e as regiões 10, 11 e 12 inferiormente a esta. Resultados: Os resultados mostraram que houve uma diminuição estatisticamente significante na região 8 (região hipogástrica) em todas as modalidades de sensibilidade. (Teste de Fisher e teste t de Student). Pacientes do grupo experimental também apresentaram sensibilidade diminuídas a temperatura quente e fria na região 11 (região suprapúbica). A sensibilidade à pressão apresentou diminuição estatisticamente significante em todas as áreas do abdome quando comparadas com o grupo controle (teste t de Student). Quando pacientes com seguimento pós-operatório curto foram comparados com as de seguimento pós-operatório longo não houve diferença estatisticamente significante para todas as modalidades de sensibilidade nas regiões estudadas, com exceção da região 5. Nessa região as pacientes com seguimento de até 30 meses apresentavam sensibilidade diminuída a
temperatura quente e fria. Conclusões: Este estudo demonstrou que há uma redução significante na sensibilidade abdominal após abdominoplastia. O déficit sensorial envolve todas as modalidades de sensibilidade, a distribuição do déficit é consistente e envolve principalmente a linha média infra-umbilical.
Purpose: The purpose of this study was to evaluate and map out the alterations of sensibility of the abdomen after abdominoplasty. Methods: Sensibility to superficial touch, superficial pain, temperature, vibration and pressurewas evaluated in forty patients that were divided in two groups of twenty patients each. In the control group, patients had no previous abdominal incisions. In the experimental group patients were evaluated patients after abdominoplasty. The sensibility evaluation of patients from the experimental group was made from 12 to 60 months after abdominoplasty, with an average of 31.5 months. These patients were divided into two groups of 10 patients each, a short-term follow-up group (12 to 30 months postoperative) and a long-term follow-up group (31 to 60 months postoperative). The abdominal skin was divided into twelve areas, nine of them were above the abdominoplasty incision and three below it. Results: The data showed that in area 8 (hypogastric area), there was a statistically significant number of patients that had decreased sensibility in all modalities (Fisher’s test and Student’s t test). Patients of the experimental group also showed decreased sensibility to hot and cold temperature in area 11 (pubic area). Sensibility to pressure decreased significantly in all areas of the abdomen when compared to the control group (Student’s t test). When patients of the short-term follow-up group were compared with those of the long-term group, there was no statistical significant difference for all modalities of sensibility in the areas studied, except for area 5. In this area, it was founded that patients of the short-term follow-up group had decreased sensibility to hot and cold temperature. Conclusions: This study demonstrates that there is a significant reduction in abdominal sensibility following abdominoplasty. The distribution of the deficits is consistent and involves, in particular, the midline infra umbilical region.
Purpose: The purpose of this study was to evaluate and map out the alterations of sensibility of the abdomen after abdominoplasty. Methods: Sensibility to superficial touch, superficial pain, temperature, vibration and pressurewas evaluated in forty patients that were divided in two groups of twenty patients each. In the control group, patients had no previous abdominal incisions. In the experimental group patients were evaluated patients after abdominoplasty. The sensibility evaluation of patients from the experimental group was made from 12 to 60 months after abdominoplasty, with an average of 31.5 months. These patients were divided into two groups of 10 patients each, a short-term follow-up group (12 to 30 months postoperative) and a long-term follow-up group (31 to 60 months postoperative). The abdominal skin was divided into twelve areas, nine of them were above the abdominoplasty incision and three below it. Results: The data showed that in area 8 (hypogastric area), there was a statistically significant number of patients that had decreased sensibility in all modalities (Fisher’s test and Student’s t test). Patients of the experimental group also showed decreased sensibility to hot and cold temperature in area 11 (pubic area). Sensibility to pressure decreased significantly in all areas of the abdomen when compared to the control group (Student’s t test). When patients of the short-term follow-up group were compared with those of the long-term group, there was no statistical significant difference for all modalities of sensibility in the areas studied, except for area 5. In this area, it was founded that patients of the short-term follow-up group had decreased sensibility to hot and cold temperature. Conclusions: This study demonstrates that there is a significant reduction in abdominal sensibility following abdominoplasty. The distribution of the deficits is consistent and involves, in particular, the midline infra umbilical region.
Descrição
Citação
FARAH, Andréia Bufoni. Sensibilidade Cutânea do Abdome após
Abdominoplastia. 2004. 110 f. Dissertação (Mestrado) – Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2004.