Abdominal surgery after surgery: preparation, course of operation, contraindications



Abdominal surgery after surgery is recommended for severe obesity, the presence of sagging "apron" or a large hollow fold after a sharp decrease in BMI, divergence of the rectus abdominis muscles (diastasis), removal of the uterus or hernia, the formation of coarse deforming scars or disfiguring postpartum stretches, as a result of which the woman experiences dissatisfaction with your body.

Abdominoplasty usually involves the removal of excess epidermis and lipid tissue and the formation of an appropriate muscle skeleton. Surgical intervention is resorted to in cases where it is not possible to correct the figure with the help of training, therapeutic massage and changes in the diet, only after the person reaches adulthood.

There are three types of abdominoplasty. The choice of methods for a particular patient is carried out by the doctor individually.

The endoscopic method is the most benign method of plastics of the abdomen, carried out without the use of horizontal and vertical dissection of the epithelium and muscles. With the help of piercing small holes (2-3 cm) and the introduction of medical instruments and tubes through them, the muscle mass can be tightened to the normal state.

This method does not leave scars, requires a minimum rehabilitation period and practically does not give complications . Endoscopy is recommended to bring the abdomen back to normal by eliminating the weakened tone and stretching of the abdominal wall after pregnancy and childbirth.



The classical (standard) method is used to correct a pronounced, more complex deformation of the abdominal surface, in the presence of a large lipid layer, a hanging apron from skin and adipose tissue or rough scars.

The operation involves making an incision in the area above the pubis, removing excess skin-lipid tissue, stitching the muscle to strengthen the skeleton and form a new navel (if there is such a need). There are many contraindications for this type of surgery.

Tummy tuck after surgery in the overwhelming majority of cases is a mini - abdominoplasty . Intervention of this kind consists of a combination of liposuction and the classical method and is recommended for patients with a small amount of excess skin, combined with the presence of stretch marks and weakening of the muscles of the lower press.

Correction of tissues is carried out through a small incision; therefore, less injury is provided than during classical intervention, the navel remains. Manipulation lasts about 3 hours.



Preoperative preparation

After the examination, the surgeon selects the appropriate type of surgery aimed at plastic surgery of the abdomen, corresponding to the individual characteristics and the general health of the patient. Further, the necessary complex of examinations is carried out: general and biochemical blood tests, determination of the state of the coagulability system, electrocardiogram, tests for hepatitis, syphilis and HIV. In the absence of contraindications appointed day of operation.

At least 14 days prior to surgery, it is necessary to quit smoking if there is nicotine addiction, clean up the intestines the night before the operation with an enema, repeat the procedure in the morning. The last meal is carried out no later than 18 hours of the day preceding the procedure, for three days it is necessary to exclude coarse fiber, it is forbidden to eat and eat in the morning.

Stages of the operation

The operation consists of standard steps: anesthesia, correction of skin and muscle tissue, removal of fat with the right proportion, stitching. For any type of abdominoplasty, general anesthesia is used, the duration of the procedure, depending on the complexity, is from 3 to 5 hours. The course and outcome of the plasty, the type of incision and suture, as well as the duration of the recovery period depends on the chosen technique.

Usually rehabilitation is about a month, the first few days the patient is observed in the clinic department. During this period, prescribed painkillers and antimicrobials, as well as thrombolytics. During the recovery period, it is necessary to wear a special supporting linen or bandage, it is forbidden to visit the sauna, take direct sunbathing, perform heavy physical exercises and overeat.

Until complete suture healing, regular dressings are performed under the supervision of a doctor. In order to prevent the formation of rough scar massage is recommended and physiotherapy.

Contraindicated abdominoplasty:

• without direct medical indications for people suffering from diabetes, thyroid disorders;
• during acute infectious processes;
• with uncontrolled hypertension;
• in the presence of oncological diseases, as well as serious pathologies of the respiratory system, cardiovascular system;
• with bleeding disorders.

How to get rid of the abdomen after surgery quickly and efficiently

The main issue that concerns women after surgical correction and after liposuction of fat on the abdomen is how to get rid of the abdomen after surgery or cesarean section, and when you can begin to exercise to acquire a flat taut press without harm to health.

It is better to resort to the following gentle recovery methods:

1. After the operation, it is recommended to sleep for a while on your stomach and wear a slimming underwear or bandage during the day, which allows you to shorten the suture healing period as much as possible and helps to tighten the muscles.
2. All exercises for the press should be coordinated with your doctor, and during training you should listen to your feelings and in case of pain in the place of the scar formed after plastic surgery, immediately stop classes.
3. After complete restoration of the integrity of tissues, the absence of inflammation and the formation of a stable scar, anti-cellulite products can be applied followed by wrapping the tummy with a cling film. In addition, a good result is given by wraps using seaweed, vinegar and coffee grounds, but mustard and chocolate should be discarded.
4. Check with the doctor for a visit to the pool, as intensive swimming and various exercises in the water make it possible to quickly restore the body to a fit body.
5. Increase the load on the press gradually, training should not cause pain and discomfort. In addition to exercises for the abdominal muscles, try to strengthen the whole body, walk on foot, do bodyflex or a set of exercises on fitball.

The problem of a sagging abdomen with an ugly fatty layer or an apron cannot be solved only with the help of abdominoplasty and special exercises, it is necessary to make changes in the diet and choose the appropriate diet.