Addominoplastica

by Category: Procedure ChirurgicheBookmark the permalink

L’addominoplastica è l’intervento che si effettua per rimodellare la parete addominale e consiste nell’asportazione del tessuto adiposo e della cute presente in eccesso a livello dell’addome. Molto spesso è necessario anche agire sulla parete muscolo fasciale a causa del suo rilassamento. L’intervento consiste in un vero e proprio lifting della parete addominale con una sutura finale nella regione pubica, che può essere normalmente contenuta in un costume da bagno.
L’intervento si esegue in anestesia generale o spinale in sala operatoria e dura circa 3 ore.
Alla fine dell’intervento viene fatta indossare una guaina elastica e la paziente potrà riprendere gradualmente una normale vita di relazione dopo circa 5 giorni.Dopo circa 4 settimane è possibile riprendere l’attività sportiva.L’addominoplastica è la procedura chirurgica con la quale si asporta il grasso e la cute in eccesso dalla porzione media ed inferiore dell’addome e con la quale eventualmente si ricostruisce l’integrità dei muscoli della parete addominale. Quest’intervento modifica in maniera eclatante la protrusione dell’addome, ma il tutto a scapito di cicatrici permanenti che a seconda dei casi possono anche prolungarsi da una spina iliaca all’altra. I migliori candidati per quest’intervento sono pazienti in relativa buona salute, con eccesso di grasso e mantello cutaneo esuberante. Ad esempio donne che in seguito ad una gravidanza hanno disteso i loro tessuti in maniera eccessiva e non riescono più a riacquistare la forma fisica o ancora pazienti che abbiano una ridotta elasticità cutanea come coloro che hanno avuto un notevole calo ponderale (ex obesi). L’addominoplastica non va però in nessun caso considerata una scorciatoia di una dieta e quindi pazienti francamente in sovrappeso devono posporre l’intervento al dimagrimento. Così anche le pazienti che hanno in animo di avere un altro figlio è opportuno che attendino, per non rischiare di invalidare totalmente l’esito dell’intervento.

Rischi

Migliaia di addominoplastica vengono eseguite ogni anno senza che si verifichino complicanze di alcun genere. Ciò nonostante, come tutta la chirurgia anche questo intervento comporta dei rischi. Le complicanze sono costituite da infezioni (da trattare con terapia antibiotica), ematomi, sieromi (che vanno eventualmente drenati), tromboflebiti degli arti inferiori (il cui rischio viene minimizzato con la mobilizzazione precoce del/la paziente). Talvolta può manifestarsi una cattiva guarigione che può portare ad importanti cicatrici che richiedono un secondo intervento correttivo. Come sempe, se l’intervento è eseguito da un chirurgo plastico esperto, le complicanze sono molto rare e normalmente di ridotta entità. I fumatori hanno un rischio notevolmente aumentato di ritardo di guarigione e di insorgenza di complicanze.

Preparazione all’intervento

E’ buona norma, a cominciare dalla settimana precedente all’intervento, non assumere Ac. Acetilsalicico (aspirina) per evitare problemi di coagulazione, e per i fumatori astenersi per almeno 4 settimane (due prima e due dopo l’operazione).
Se si è reduci da un’infezione o una malattia sarebbe prudente posporre l’intervento chirurgico.
Se si viene operati in regime di Day-Surgery (dimissione nello stesso giorno) è indispensabile che il/la paziente venga accompagnato da una persona che possa prendersene cura nel riaccompagnarla a casa e nelle necessità delle prime 24-48 ore

L’intervento chirurgico

La procedura chirurgica richiede da 2 a 4 ore a secondo dell’estensione del difetto da correggere. Comunemente l’incisione chirurgica si estende da una spina iliaca all’altra passando subito al di sopra della regione pubica. Poi si separano i tessuti cutaneo e sottocutaneo dalla parete addominale estendendo lo scollamento fino alle costole. I muscoli vengono riaccollati fra loro e la cute viene quindi stirata verso il basso ed asportata nella sua porzione in eccesso. Una seconda incisione viene fatta intorno all’ombelico per liberarlo ed effettuare il suo spostamento. Nelle addominoplastiche parziali (mini-addominoplastiche) questa incisione può essere evitata. Generalmente dei tubi di drenaggio vengono lasciati in situ.
Una mini-addominoplastica invece può richiedere 1, 1 ½ ora. L’incisione è più corta di quella descritta in precedenza; si scolla una porzione di tessuto compresa tra la linea di incisione e l’ombelico, si stira verso il basso e si rimuove la porzione in eccesso prima di riaccostare i margini.

L’Anestesia

L’addominoplastica classica viene effettuata in Anestesia Generale, mentre la mini-addominoplastica può anche essere eseguita in Anestesia Locale con l’aggiunta o meno di sedazione.

Il post-operatorio

Nei primi giorni l’addome potrà essere particolarmente gonfio, in relazione all’estensione dell’intervento subito. La prima medicazione viene fatta dopo due giorni ed i tessuti dovranno essere tenuti asciutti sino alla rimozione dei drenaggi.
Nei primissimi giorni il dolore, presente soprattutto nei casi in cui vengono riaccostati i muscoli, viene controllato con terapia farmacologica. A secondo dell’estensione dell’intervento si chiede al paziente di riprendere con calma l’attività fisica, proibendo comunque per 4 settimane lo sport. I primi punti si rimuovono dopo una settimana, gli ultimi dopo tre. l/la paziente indosserà, alla rimozione della prima medicazione, una guaina compressiva che porterà per 4 settimane. Le prime due giorno e notte, le seconde 2 soltanto di giorno.
Il/la paziente avvertirà una ridotta sensibilità della cute addominale che riprenderà gradualmente nel corso delle settimane

Ripresa dell’attività

Il ritorno alle normali attività è in relazione all’entità dell’intervento subito, alle condizioni fisiche in cui si è affrontato l’intervento chirurgico ed alle singole capacità reattive. Una ripresa graduale non comincerà comunque prima di due settimane. La cicatrice sembrerà addirittura peggiorare nei primi 5-6 mesi per poi gradualmente andare a migliorare nello spazio di almeno 9-12 mesi dall’intervento.

Il nuovo aspetto

L’addominoplastica, sia essa parziale o completa, da ottimi risultati a quei/quelle pazienti che hanno problemi di eccesso cutaneo o di muscoli rilassati. Le aspettative devono quindi essere realistiche e bisogna essere preparati ad una lunga ed importante cicatrice. L’addominoplastica può cambiare l’aspetto e restituire quella self-confidence perduta, ma non necessariamente cambia il proprio look secondo i propri desideri o modifica il modo di fare delle persone che ci circondano.

102 comments

  2. I really like your blog.. very nice colors & theme. Did you make this
    website yourself or did you hire someone to do it for
    you? Plz respond as I’m looking to construct my own blog and would like to know where u got
    this from. kudos

  3. That is really interesting, You’re a very professional blogger.

    I have joined your rss feed and look forward to
    seeking more of your excellent post. Additionally, I’ve shared your
    web site in my social networks

  4. Its like you read my mind! You seem to know
    so much about this, like you wrote the book in it or something.
    I think that you could do with some pics to drive the message home
    a bit, but other than that, this is great blog. An excellent
    read. I’ll definitely be back.

  5. Hi! I’m at work surfing around your blog from my new apple
    iphone! Just wanted to say I love reading your blog and look
    forward to all your posts! Keep up the excellent work!

  8. Hi! This is my 1st comment here so I just wanted to give a quick shout
    out and say I truly enjoy reading your articles. Can you
    recommend any other blogs/websites/forums that cover the
    same topics? Thank you!

  10. My brother suggested I might like this blog. He was totally
    right. This post truly made my day. You can not imagine just how much
    time I had spent for this info! Thanks!

  11. Hi there would you mind letting me know which webhost you’re utilizing?
    I’ve loaded your blog in 3 completely different web browsers and I must
    say this blog loads a lot quicker then most. Can you recommend a good hosting
    provider at a fair price? Thanks, I appreciate it!

  12. I was recommended this website by way of my
    cousin. I’m no longer positive whether this
    publish is written by him as no one else recognize such precise about my trouble.
    You are incredible! Thanks!

  13. Have you ever considered about adding a little bit more than just
    your articles? I mean, what you say is valuable and all.
    Nevertheless imagine if you added some great
    visuals or video clips to give your posts more, “pop”!
    Your content is excellent but with pics and clips, this
    website could definitely be one of the most beneficial in its field.

    Terrific blog!

  15. Hey! Do you know if they make any plugins to assist
    with SEO? I’m trying to get my blog to rank for some targeted
    keywords but I’m not seeing very good success.
    If you know of any please share. Many thanks!

  17. My spouse and I absolutely love your blog and find the majority
    of your post’s to be just what I’m looking for.
    Does one offer guest writers to write content for you?
    I wouldn’t mind producing a post or elaborating on a few of the subjects you write about here.
    Again, awesome site!

  20. Excellent goods from you, man. I have understand your stuff previous to and you are just too
    fantastic. I actually like what you’ve acquired here,
    certainly like what you are stating and the way in which you
    say it. You make it enjoyable and you still take care of to keep it sensible.
    I cant wait to read much more from you. This is really a tremendous website.

  21. Whats up very nice web site!! Guy .. Beautiful ..
    Amazing .. I will bookmark your web site and
    take the feeds also? I am satisfied to seek out a lot of helpful information right here within the put
    up, we want develop more strategies on this regard, thank you for sharing.
    . . . . .

  22. A fascinating discussion is worth comment. I think that you need to write more on this issue, it might not be a taboo
    subject but usually folks don’t talk about these topics.

    To the next! Kind regards!!

  23. Hi, I do think this is a great website. I stumbledupon it 😉 I will revisit yet again since
    I bookmarked it. Money and freedom is the best
    way to change, may you be rich and continue to help other
    people.

  25. Howdy! This post could not be written much better!
    Looking at this post reminds me of my previous roommate!

    He constantly kept preaching about this. I will forward this article to
    him. Fairly certain he will have a very good read. Many thanks for sharing!

  27. Wow! This blog looks exactly like my old one! It’s on a completely different topic but it has pretty much
    the same page layout and design. Excellent choice of colors!

  31. Thanks for ones marvelous posting! I quite enjoyed reading it, you
    can be a great author. I will be sure to
    bookmark your blog and definitely will come back someday.
    I want to encourage one to continue your great writing, have a nice
    afternoon!

  32. Simply want to say your article is as surprising. The clearness in your post is simply
    great and i can assume you are an expert on this subject.
    Well with your permission let me to grab your RSS
    feed to keep updated with forthcoming post. Thanks a million and please carry on the rewarding work.

  34. Pretty component of content. I just stumbled
    upon your web site and in accession capital to assert that
    I acquire in fact loved account your weblog posts.
    Any way I will be subscribing for your feeds and even I fulfillment you get entry to persistently
    fast.

  35. Write more, thats all I have to say. Literally, it seems as though
    you relied on the video to make your point. You obviously know what youre talking about, why waste your
    intelligence on just posting videos to your
    site when you could be giving us something enlightening to read?

  36. Hello i am kavin, its my first occasion to commenting anyplace, when i read this
    article i thought i could also make comment due to this brilliant piece of writing.

  37. Hi, Neat post. There is a problem together with
    your website in web explorer, might test this? IE still is the
    marketplace leader and a big part of other folks will pass over your great writing because of this
    problem.

  41. obviously like your web-site however you need to take a look at the spelling on several
    of your posts. A number of them are rife with spelling issues and I in finding it very troublesome to tell the reality on the other hand I’ll certainly come back again.

  42. Do you have a spam problem on this blog; I also am a blogger, and
    I was wanting to know your situation; many of us have developed
    some nice methods and we are looking to swap methods with others, please
    shoot me an email if interested.

  43. Wonderful blog! Do you have any hints for aspiring writers?
    I’m planning to start my own site soon but I’m a little lost on everything.
    Would you suggest starting with a free platform like
    Wordpress or go for a paid option? There are so many options out
    there that I’m completely confused .. Any suggestions?

    Thanks a lot!

  44. Please let me know if you’re looking for a author for your site.
    You have some really great posts and I think I would be a good asset.
    If you ever want to take some of the load off, I’d really like to write some articles for
    your blog in exchange for a link back to mine. Please
    shoot me an email if interested. Kudos!

  46. I don’t even know the way I finished up here, however I assumed this post was once great.

    I do not recognize who you’re but definitely you are going
    to a famous blogger if you are not already. Cheers!

  47. Link exchange is nothing else however it is only placing the other person’s website
    link on your page at suitable place and other person will also do similar in favor of you.

  48. My brother suggested I may like this blog.
    He was once entirely right. This submit actually made my day.
    You can not consider simply how so much time I had spent
    for this information! Thank you!

  50. I’ve been browsing online more than three hours today, yet I never found any interesting article like yours.
    It is pretty worth enough for me. Personally, if all webmasters and bloggers made good content as you
    did, the net will be a lot more useful than ever before.

  56. Thanks so much regarding giving everyone an update on this theme on your web-site.

    Please know that if a fresh post becomes available
    or in case any modifications occur to the current post,
    I would be interested in reading a lot more and learning how to make good use of those tactics you talk about.
    Thanks for your time and consideration of other people
    by making this website available.

  59. This is a great tip especially to those fresh to the blogosphere.
    Simple but very precise information? Many thanks for sharing this
    one. A must read article!

  61. Hi, i think that i saw you visited my site so i came to ?return the favor?.I am trying to find things to improve my
    web site!I suppose its ok to use some of your ideas!!

  63. I’m impressed, I must say. Rarely do I come across a blog that’s both educative and entertaining, and let me tell you, you have hit the nail on the head. The problem is an issue that too few men and women are speaking intelligently about. Now i’m very happy that I found this in my search for something concerning this.

  64. I needed to thank you for this good read.. I certainly enjoyed every bit of it. I’ve got you saved as a favorite to look at new things you post…

  66. Howdy, you do have a great website. I’m looking for strategies for making my site more like what you’ve got here. I truly love your layout and coloring style though. Thanks a lot for the motivation.

  67. I appreciate what you are actually up to here. It’s clear that you must have taken so much time to think of the ideas for this post and must have done a lot more in the manner you have coined it. Many thanks.

  68. Wonderful blog you have got here! Likewise, I liked how quickly your pages loaded. Did you do any type of optimisation to your site? And if yes, what methods did you use? Any sort of advice would be greatly valued since I will actually like my website to load just like yours. Thanks a lot.

  69. Hello! I know this is kind of off topic but I was wondering if you knew where I could find a captcha plugin for my comment form? I’m using the same blog platform as yours and I’m having trouble finding one? Thanks a lot!

  72. Your post has seriously helped in dealing with some of the doubts I have been having regarding this subject for a long time. I truly appreciate all the effort you have put into getting this post together.

  79. Excellent items from you, man. I’ve take into account your stuff prior to and you are simply too magnificent. I really like what you have obtained here, certainly like what you are saying and the way in which during which you assert it. You make it entertaining and you still care for to keep it wise. I cant wait to read much more from you. That is really a great web site.

  85. Fantastic beat ! I would like to apprentice while you amend your website, how could i subscribe for a blog website? The account aided me a acceptable deal. I had been a little bit acquainted of this your broadcast offered bright clear idea

  86. I think that is among the so much important information for me. And i am satisfied studying your article. However should statement on some normal things, The site style is wonderful, the articles is actually excellent : D. Excellent process, cheers

Lascia un commento

Il tuo indirizzo email non sarà pubblicato.