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

• Published in: Jornal brasileiro de pneumologia Vol. 45; no. 3; p. e20170395
• Main Authors: Fluhr, Sandra, Andrade, Armèle Dornelas de, Oliveira, Emanuel José Baptista, Rocha, Taciano, Medeiros, Ana Irene Carlos, Couto, Amanda, Maia, Juliana Netto, Brandão, Daniella Cunha
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Sociedade Brasileira de Pneumologia e Tisiologia 2019
• Subjects: Abdominoplasty; Diaphragm/physiology; Diaphragm/physiopathology; Lipectomy; Lung/physiology; Lung/physiopathology; Original; Respiratory function tests; Respiratory mechanics; RESPIRATORY SYSTEM; Spirometry; Ultrasonography; Spirometry; Diafragma/fisiopatologia; Espirometria; Diaphragm/physiology; Lipectomia; Pulmão/fisiologia; Respiratory mechanics; Diaphragm/physiopathology; Pulmão/fisiopatologia; Diafragma/fisiologia; Abdominoplasty; Testes de Função Respiratória; Mecânica respiratória; Lipectomy; Lung/physiology; Lung/physiopathology; Ultrassonografia; Ultrasonography; Abdominoplastia; Respiratory function tests
• ISSN: 1806-3713; 1806-3756; 1806-3756
• DOI: 10.1590/1806-3713/e20170395

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