NCT01942707

Brief Summary

46 female postbariatric patients will be submitted to anchor-line abdominoplasty with drains insertion. Patients will be randomized to two groups. One group will have the Fascia Scarpa removed and in the other the Fascia Scarpa will be preserved. The drains will be removed when the volume is less than 30 ml in 24 hours. The primary outcome will be the volume of total drainage obtained in the drains of the abdominal region. Secondary outcomes will be the length of time the drains remain and the presence of seroma assessed by ultrasound on the twentieth postoperative day.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
46

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2013

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2013

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

September 11, 2013

Completed
5 days until next milestone

First Posted

Study publicly available on registry

September 16, 2013

Completed
3.9 years until next milestone

Results Posted

Study results publicly available

August 3, 2017

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2018

Completed
8 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

March 29, 2018

Status Verified

March 1, 2018

Enrollment Period

5.1 years

First QC Date

September 11, 2013

Results QC Date

April 1, 2015

Last Update Submit

March 1, 2018

Conditions

Keywords

Abdominoplasty,Seroma,Bariatric surgery

Outcome Measures

Primary Outcomes (1)

  • Total Volume of Drainage in ml.

    We will measure the total volume of drainage, in ml, obtained by the drains in the abdominal region. The measure of drainage will be done at the same time (8:00 am) and by the same nurse everyday in all patients until the drain is withdrawn. The drain will be withdrawn when the drained volume is less than 30 ml in 24 hours. Total volume of drainage will be calculated as the sum of the volumes obtained daily.

    number of days required for drain withdrawal (drained volume less than 30 ml in 24 hours) and no later than 10 days

Secondary Outcomes (2)

  • Number of Days Required for Drain Withdrawal.

    Number of days required for drain withdrawal (drained volume less than 30 ml in 24 hours) and no later than 10 days

  • Volume of Seroma Assessed by Ultrasound of the Abdominal Wall.

    Done after 20 days of surgery

Study Arms (2)

Abdominoplasty without Scarpa´s Facia

ACTIVE COMPARATOR

Anchor-line abdominoplasty where the Scarpa's Fascia will be removed.

Procedure: Abdominoplasty without Scarpa´s Facia

abdominoplasty with Scarpa's Fascia

EXPERIMENTAL

Anchor-line abdominoplasty where the Scarpa's Fascia will be preserved.

Procedure: abdominoplasty with Scarpa's Fascia

Interventions

During surgical detachment of the abdominal flap the Scarpa´s fascia is preserved.

abdominoplasty with Scarpa's Fascia

During surgical detachment of the abdominal flap the Scarpa´s fascia is removed.

Abdominoplasty without Scarpa´s Facia

Eligibility Criteria

Age24 Years - 55 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • BMI between 22 and 30 Kg/m2
  • Female post-bariatric patient

You may not qualify if:

  • neoplasms
  • Diabetes
  • lymphatic system diseases
  • abdominal scars except C section and bariatric surgery scars
  • mental disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Federal University of São Paulo

São Paulo, São Paulo, 04024002, Brazil

Location

Related Publications (29)

  • Andrades P, Prado A. Composition of postabdominoplasty seroma. Aesthetic Plast Surg. 2007 Sep-Oct;31(5):514-8. doi: 10.1007/s00266-007-0078-3. Epub 2007 Jul 20.

    PMID: 17659406BACKGROUND
  • Andrades P, Prado A, Danilla S, Guerra C, Benitez S, Sepulveda S, Sciarraffia C, De Carolis V. Progressive tension sutures in the prevention of postabdominoplasty seroma: a prospective, randomized, double-blind clinical trial. Plast Reconstr Surg. 2007 Sep 15;120(4):935-946. doi: 10.1097/01.prs.0000253445.76991.de.

    PMID: 17805122BACKGROUND
  • Baroudi R, Ferreira CA. Seroma: how to avoid it and how to treat it. Aesthet Surg J. 1998 Nov-Dec;18(6):439-41. doi: 10.1016/s1090-820x(98)70073-1.

    PMID: 19328174BACKGROUND
  • Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004 Oct 13;292(14):1724-37. doi: 10.1001/jama.292.14.1724.

    PMID: 15479938BACKGROUND
  • Bussolaro RA, Garcia EB, Zanella MT, Ferreira LM. Impaired abdominal skin sensory function in morbid obesity and after bariatric surgery. Obes Surg. 2012 Mar;22(3):353-9. doi: 10.1007/s11695-011-0485-z.

    PMID: 21805192BACKGROUND
  • Bercial ME, Sabino Neto M, Calil JA, Rossetto LA, Ferreira LM. Suction drains, quilting sutures, and fibrin sealant in the prevention of seroma formation in abdominoplasty: which is the best strategy? Aesthetic Plast Surg. 2012 Apr;36(2):370-3. doi: 10.1007/s00266-011-9807-8. Epub 2011 Aug 20.

    PMID: 21858593BACKGROUND
  • Colquitt J, Clegg A, Loveman E, Royle P, Sidhu MK. Surgery for morbid obesity. Cochrane Database Syst Rev. 2005 Oct 19;(4):CD003641. doi: 10.1002/14651858.CD003641.pub2.

    PMID: 16235331BACKGROUND
  • Costa LF, Landecker A, Manta AM. Optimizing body contour in massive weight loss patients: the modified vertical abdominoplasty. Plast Reconstr Surg. 2004 Dec;114(7):1917-23; discussion 1924-6. doi: 10.1097/01.prs.0000142997.63346.95.

    PMID: 15577368BACKGROUND
  • Dellon AL. Fleur-de-lis abdominoplasty. Aesthetic Plast Surg. 1985;9(1):27-32. doi: 10.1007/BF01570680.

    PMID: 3158172BACKGROUND
  • Di Martino M, Nahas FX, Barbosa MVJ, Montecinos Ayaviri NA, Kimura AK, Barella SM, Novo NF, Ferreira LM. Seroma in lipoabdominoplasty and abdominoplasty: a comparative study using ultrasound. Plast Reconstr Surg. 2010 Nov;126(5):1742-1751. doi: 10.1097/PRS.0b013e3181efa6c5.

    PMID: 20639797BACKGROUND
  • Costa-Ferreira A, Rebelo M, Vasconez LO, Amarante J. Scarpa fascia preservation during abdominoplasty: a prospective study. Plast Reconstr Surg. 2010 Apr;125(4):1232-1239. doi: 10.1097/PRS.0b013e3181d0ac59.

    PMID: 20072084BACKGROUND
  • Farah AB, Nahas FX, Ferreira LM, Mendes Jde A, Juliano Y. Sensibility of the abdomen after abdominoplasty. Plast Reconstr Surg. 2004 Aug;114(2):577-82; discussion 583. doi: 10.1097/01.prs.0000128356.93462.7b.

    PMID: 15277836BACKGROUND
  • Fraccalvieri M, Datta G, Bogetti P, Verna G, Pedrale R, Bocchiotti MA, Boriani F, Obbialero FD, Kefalas N, Bruschi S. Abdominoplasty after weight loss in morbidly obese patients: a 4-year clinical experience. Obes Surg. 2007 Oct;17(10):1319-24. doi: 10.1007/s11695-007-9235-7.

    PMID: 18000727BACKGROUND
  • Garcia-Garcia ML, Martin-Lorenzo JG, Campillo-Soto A, Torralba-Martinez JA, Liron-Ruiz R, Miguel-Perello J, Mengual-Ballester M, Aguayo-Albasini JL. [Complications and level of satisfaction after dermolipectomy and abdominoplasty post-bariatric surgery]. Cir Esp. 2014 Apr;92(4):254-60. doi: 10.1016/j.ciresp.2013.04.024. Epub 2013 Dec 18. Spanish.

    PMID: 24360407BACKGROUND
  • Gloy VL, Briel M, Bhatt DL, Kashyap SR, Schauer PR, Mingrone G, Bucher HC, Nordmann AJ. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013 Oct 22;347:f5934. doi: 10.1136/bmj.f5934.

    PMID: 24149519BACKGROUND
  • James PT. Obesity: the worldwide epidemic. Clin Dermatol. 2004 Jul-Aug;22(4):276-80. doi: 10.1016/j.clindermatol.2004.01.010.

    PMID: 15475226BACKGROUND
  • Koller M, Hintringer T. Scarpa fascia or rectus fascia in abdominoplasty flap elevation: a prospective clinical trial. Aesthetic Plast Surg. 2012 Apr;36(2):241-3. doi: 10.1007/s00266-011-9795-8. Epub 2011 Aug 19.

    PMID: 21853405BACKGROUND
  • Le Louarn C. Partial subfascial abdominoplasty. Aesthetic Plast Surg. 1996 Mar-Apr;20(2):123-7. doi: 10.1007/BF02275530.

    PMID: 8661592BACKGROUND
  • Maggard MA, Shugarman LR, Suttorp M, Maglione M, Sugerman HJ, Livingston EH, Nguyen NT, Li Z, Mojica WA, Hilton L, Rhodes S, Morton SC, Shekelle PG. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005 Apr 5;142(7):547-59. doi: 10.7326/0003-4819-142-7-200504050-00013.

    PMID: 15809466BACKGROUND
  • Mohammad JA, Warnke PH, Stavraky W. Ultrasound in the diagnosis and management of fluid collection complications following abdominoplasty. Ann Plast Surg. 1998 Nov;41(5):498-502. doi: 10.1097/00000637-199811000-00008.

    PMID: 9827952BACKGROUND
  • Montano-Pedroso JC, Garcia EB, Omonte IR, Rocha MG, Ferreira LM. Hematological variables and iron status in abdominoplasty after bariatric surgery. Obes Surg. 2013 Jan;23(1):7-16. doi: 10.1007/s11695-012-0720-2.

    PMID: 22820956BACKGROUND
  • Nahas FX, Ferreira LM, Ghelfond C. Does quilting suture prevent seroma in abdominoplasty? Plast Reconstr Surg. 2007 Mar;119(3):1060-4; discussion 1065-6. doi: 10.1097/01.prs.0000242493.11655.68.

    PMID: 17312514BACKGROUND
  • Nahas FX, di Martino M, Ferreira LM. Fibrin glue as a substitute for quilting suture in abdominoplasty. Plast Reconstr Surg. 2012 Jan;129(1):212e-213e. doi: 10.1097/PRS.0b013e3182365d65. No abstract available.

    PMID: 22186572BACKGROUND
  • Neaman KC, Hansen JE. Analysis of complications from abdominoplasty: a review of 206 cases at a university hospital. Ann Plast Surg. 2007 Mar;58(3):292-8. doi: 10.1097/01.sap.0000239806.43438.54.

    PMID: 17471135BACKGROUND
  • Persichetti P, Simone P, Scuderi N. Anchor-line abdominoplasty: a comprehensive approach to abdominal wall reconstruction and body contouring. Plast Reconstr Surg. 2005 Jul;116(1):289-94. doi: 10.1097/01.prs.0000170049.94288.d2.

    PMID: 15988280BACKGROUND
  • Pitanguy I. Evaluation of body contouring surgery today: a 30-year perspective. Plast Reconstr Surg. 2000 Apr;105(4):1499-514; discussion 1515-6.

    PMID: 10744246BACKGROUND
  • Rossetto LA, Garcia EB, Abla LF, Neto MS, Ferreira LM. Quilting suture in the donor site of the transverse rectus abdominis musculocutaneous flap in breast reconstruction. Ann Plast Surg. 2009 Mar;62(3):240-3. doi: 10.1097/SAP.0b013e318180c8e2.

    PMID: 19240517BACKGROUND
  • Saldanha OR, Federico R, Daher PF, Malheiros AA, Carneiro PRG, Azevedo SFD, Saldanha Filho OR, Saldanha CB. Lipoabdominoplasty. Plast Reconstr Surg. 2009 Sep;124(3):934-942. doi: 10.1097/PRS.0b013e3181b037e3.

    PMID: 19730314BACKGROUND
  • Stewart KJ, Stewart DA, Coghlan B, Harrison DH, Jones BM, Waterhouse N. Complications of 278 consecutive abdominoplasties. J Plast Reconstr Aesthet Surg. 2006;59(11):1152-5. doi: 10.1016/j.bjps.2005.12.060. Epub 2006 Jul 5.

    PMID: 17046623BACKGROUND

MeSH Terms

Conditions

Seroma

Interventions

Abdominoplasty

Condition Hierarchy (Ancestors)

InflammationPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Cosmetic TechniquesTherapeuticsPlastic Surgery ProceduresSurgical Procedures, Operative

Results Point of Contact

Title
Dr. Heraldo Carlos Borges Inforzato
Organization
Universidade Federal de São Paulo

Study Officials

  • Lydia M Ferreira, MD, Phd

    Federal University of São Paulo

    STUDY CHAIR
  • Juan C Montano-Pedroso, PhD

    Federal University of São Paulo

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
The patient will not know if the Scarpa´s fascia has been removed or preserved.
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
M D - Professor

Study Record Dates

First Submitted

September 11, 2013

First Posted

September 16, 2013

Study Start

March 1, 2013

Primary Completion

April 1, 2018

Study Completion

December 1, 2018

Last Updated

March 29, 2018

Results First Posted

August 3, 2017

Record last verified: 2018-03

Data Sharing

IPD Sharing
Will not share

Locations