Abdominoplasty Clinical Trial
Official title:
Role of Preservation of Scarpa's Fascia in Abdominoplasty: a Prospective Trial
The purpose of this study is to determine whether leaving a thicker layer -which preserves
the tissue called Scarpa's fascia -intact during an abdominoplasty (tummy tuck) decreases
the damage to the lymphatic system.
In order to investigate the effect of leaving a thinner or slightly thicker layer intact
during a tummy tuck, patients who are already planning to undergo the surgery, and who agree
to participate, will be randomly assigned to two groups in a manner similar to flipping a
coin. The first group will have their abdominoplasty performed with a thinner layer of
abdominal wall left in place while the second group will have the surgery with a slightly
thicker layer left in place. Both methods of doing a tummy tuck meet acceptable standards of
care, and the aesthetic outcomes will not be negatively impacted by either of the options.
Before and after the surgery, a procedure called lymphoscintigraphy will be performed.
Lymphoscintigraphy is a special type of imaging where a dye, called a radiotracer, is
injected and then detected by a special camera. The pictures provided by the
lymphoscintigraphy allow investigators to look at the lymphatic system, which is a small
network similar to blood vessels that helps drain extra fluid. The lymphoscintigraphy will
help investigators to know what method of performing the tummy tuck leaves the lymphatic
system most intact.
In addition, photographs of each patient's abdomen will be taken using a special camera that
allows investigators to put the photographs in the computer and compile a 3-dimensional
image. Investigators will be able to look at the volume changes from swelling after the
surgery using these pictures. Finally, an ultrasound will be used to help identify any
seromas, or fluid collections, that may form after the surgery.
The lymphoscintigraphy, photographs and the ultrasound combined will help determine whether
or not leaving a thicker or thinner layer during a tummy tuck helps preserve the fluid
draining lymphatic system and whether or not that effects recovery after the procedure.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label
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