Laila Ahmed Aboul Nasr, Sherief Zamer, Ahmed Fathy Elsayed Mohamed, Hatem Elsahar
{"title":"A new technique of monsplasty as an adjunctive procedure in cases of abdominoplasty: A prospective clinical trial","authors":"Laila Ahmed Aboul Nasr, Sherief Zamer, Ahmed Fathy Elsayed Mohamed, Hatem Elsahar","doi":"10.1016/j.cjprs.2024.07.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>No standard monsplasty technique has existed until now. Although various monsplasty methods have been described, they exhibit high complication rates with sparse postoperative data. Studies that used pubic suspension techniques did not describe exact anatomical landmarks for the mons pexy. This study aimed to improve the aesthetic and functional appearance of the pubic region with long-term results for all grades of pubic ptosis or bulging with abdominoplasty and provide exact anatomical points to anchor the mons to the rectus sheath.</p></div><div><h3>Methods</h3><p>This non-randomized prospective clinical trial included 30 patients with various degrees of abdominal wall laxity between December 2017 and September 2019. The surgical procedure was performed for female patients with pendulous abdomen, pubic ptosis or bulging, body mass index ≤35 kg/m<sup>2</sup>, and age 18–60 years. All patients were followed for up to one year; patient satisfaction was assessed before and after surgery regarding aesthetic results and impact on outfits, hygiene, and sexual activity.</p></div><div><h3>Results</h3><p>The marginal homogeneity test revealed a statistically significant patient satisfaction rate regarding outfits, sexual function, hygiene, and aesthetics. Regarding postoperative complications, seroma (one case) was managed by aspiration, and one case of wound dehiscence was managed conservatively with dressings.</p></div><div><h3>Conclusion</h3><p>This study recommends a quick and reproducible monsplasty technique with a low complication rate, a technique that helps determine specific anatomical landmarks for anchoring the mons to the rectus sheath. Combining this technique with abdominal contouring is advisable for optimal aesthetic results and maintained lymphatic drainage in the pubic region.</p></div><div><h3>Trial registration</h3><p>Pan African Clinical Trial Registry, PACTR202407819592984. Registered December 22, 2017. Prospective registration, <span><span>https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=30636</span><svg><path></path></svg></span>.</p></div>","PeriodicalId":65600,"journal":{"name":"Chinese Journal of Plastic and Reconstructive Surgery","volume":"6 3","pages":"Pages 124-129"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2096691124000645/pdfft?md5=fd2046e774e47fedbdebd2076e48fe1c&pid=1-s2.0-S2096691124000645-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Chinese Journal of Plastic and Reconstructive Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2096691124000645","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Background
No standard monsplasty technique has existed until now. Although various monsplasty methods have been described, they exhibit high complication rates with sparse postoperative data. Studies that used pubic suspension techniques did not describe exact anatomical landmarks for the mons pexy. This study aimed to improve the aesthetic and functional appearance of the pubic region with long-term results for all grades of pubic ptosis or bulging with abdominoplasty and provide exact anatomical points to anchor the mons to the rectus sheath.
Methods
This non-randomized prospective clinical trial included 30 patients with various degrees of abdominal wall laxity between December 2017 and September 2019. The surgical procedure was performed for female patients with pendulous abdomen, pubic ptosis or bulging, body mass index ≤35 kg/m2, and age 18–60 years. All patients were followed for up to one year; patient satisfaction was assessed before and after surgery regarding aesthetic results and impact on outfits, hygiene, and sexual activity.
Results
The marginal homogeneity test revealed a statistically significant patient satisfaction rate regarding outfits, sexual function, hygiene, and aesthetics. Regarding postoperative complications, seroma (one case) was managed by aspiration, and one case of wound dehiscence was managed conservatively with dressings.
Conclusion
This study recommends a quick and reproducible monsplasty technique with a low complication rate, a technique that helps determine specific anatomical landmarks for anchoring the mons to the rectus sheath. Combining this technique with abdominal contouring is advisable for optimal aesthetic results and maintained lymphatic drainage in the pubic region.
Trial registration
Pan African Clinical Trial Registry, PACTR202407819592984. Registered December 22, 2017. Prospective registration, https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=30636.
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