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    • Predicting safety duringabdominal musculo-aponeuroticlaxity repair by intra-operative monitoring of the Peak Inspiratory Pressure

    Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman, Tamer Mousaad
    1 Mostafa Ahmed Abo El-Soud M.D: Professor of Plastic Surgery, Cairo University 1Ashraf El-Sebaie M.D: Professor of Plastic Surgery, Cairo University 1 Ayman Noaman Ahmed: Assistant Lecturer of Plastic Surgery, Cairo University 4 Tamer Mousaad: Lecturer of Anaesthesia, Cairo University

    Abdominoplasty is one of the most commonly performed procedures in plastic surgery. Rectus plication in the repair of abdominal wall laxity as a main step in abdominoplasty causes extrinsic compression of the abdominal content and elevation of intra-abdominal pressure. Many methods were described to indirectly measure the intra-abdominal pressure, one of which is the peak inspiratory pressure. This study shows the efficiency of using the peak inspiratory pressure as a monitor during abdominal wall laxity repair. It also shows the safety of combined vertical plication of the rectus sheath and transverse plication of the anterolateral abdominal wall muscles in abdominal wall laxity repair. Keywords: Abdominoplasty - Abdominal wall laxity – peak inspiratory pressure – intra-abdominal pressure.

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