Lipoabdominoplasty: repercussions for diaphragmatic mobility and lung function in healthy women

Sandra Fluhr, Armèle Dornelas de Andrade, Emanuel José Baptista Oliveira, Taciano Rocha, Ana Irene Carlos Medeiros, Amanda Couto, Juliana Netto Maia, Daniella Cunha Brandão, Sandra Fluhr, Armèle Dornelas de Andrade, Emanuel José Baptista Oliveira, Taciano Rocha, Ana Irene Carlos Medeiros, Amanda Couto, Juliana Netto Maia, Daniella Cunha Brandão

Abstract

Objective: To evaluate the impact of lipoabdominoplasty on diaphragmatic mobility (DM) and lung function in healthy women.

Methods: This was a prospective cohort study using high-resolution ultrasound and forced spirometry to assess DM and lung function, respectively, prior to lipoabdominoplasty, as well as on postoperative day (POD) 10 and POD 30. DM was measured under two conditions: during tidal volume breathing and during a VC maneuver.

Results: The sample consisted of 20 women, with a mean age of 39.85 ± 7.52 years and a mean body mass index of 26.21 ± 2.0 kg/m2. Comparing the preoperative and postoperative periods, we found that DM and lung function values were significantly lower after lipoabdominoplasty, the mean DM on POD 10 being 17% and 15% lower during tidal volume breathing and during the VC maneuver, respectively, in comparison with the preoperative mean (p = 0.009 and p < 0.001, respectively). In addition, FEV1, FVC, and PEF were significantly lower on POD 10 than in the preoperative period (p = 0.046, p = 0.002, and p < 0.001, respectively), returning to preoperative values by POD 30.

Conclusions: Lipoabdominoplasty appears to have negative short-term repercussions for DM and lung function in healthy women. However, lung function and DM are both apparently restored to preoperative conditions by POD 30. (ClinicalTrials.gov identifier: NCT02762526 [http://www.clinicaltrials.gov/]).

Figures

Figure 1. Assessment of diaphragmatic mobility by…
Figure 1. Assessment of diaphragmatic mobility by M-mode ultrasound, with the placement of markers for determining diaphragm displacement during the VC maneuver. A, B, and C indicate the beginning, middle, and end of the inspiratory cycle, respectively.
Figure 2. Flowchart of the study design.…
Figure 2. Flowchart of the study design. BMI: body mass index; MMSE: Mini-Mental State Examination; and POD: postoperative day.
Figure 3. Diaphragmatic mobility (DM), measured during…
Figure 3. Diaphragmatic mobility (DM), measured during tidal volume breathing (VT) and during a VC maneuver (VC), at the three time points evaluated. Values of p were calculated with two-way repeated-measures ANOVA followed by the Holm-Sidak post hoc test. POD: postoperative day. *p = 0.009 vs. Preoperative. †p < 0.001 vs. Preoperative.
Figure 4. Diaphragmatic mobility (DM) during a…
Figure 4. Diaphragmatic mobility (DM) during a VC maneuver on postoperative day 10, in comparison with the FEV1 and PEF values (both in % of predicted) obtained at the same time point. Values of p were calculated with Pearson’s correlation coefficient. *Significant correlation with DM during the VC maneuver (r = 0.502; p = 0.034). †Significant correlation with DM during the VC maneuver (r = 0.515; p = 0.029).

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