ABDOMINOPLASTIA COM PLICATURA EM PACIENTES COM DIÁSTASE ABDOMINAL PÓS-PARTO: UMA REVISÃO SISTEMÁTICA

Resumo

ABSTRACT
Objective: To analyze, in patients with postpartum abdominal diastasis, whether abdominoplasty
with plication has greater benefits than treatment with other surgical techniques. Method: This
study is a systematic intervention review with the selection of randomized clinical trials, using the
methodology of the Joanna Briggs Institute and the PRISMA-ScR checklist, following the
research question elaborated according to the acronym PICO: "In patients with postpartum
abdominal diastasis, does abdominoplasty with plication have greater benefits compared to other
surgical interventions?". The texts were searched in five databases: National Library of Medicine,
Virtual Health Library, ScienceDirect, CrochaneLibrary and Scientific Electronic Library Online.
The screening of the studies will be carried out by two reviewers, with the help of Rayyan
software, which is important to guarantee the objectivity and quality of the process. The following
inclusion criteria will be used: articles from the last 10 years, Randomized Clinical Trials (RCTs),
and studies in English, Portuguese and Spanish. Results: The results showed a significant
improvement in rectus abdominis diastasis after abdominoplasty with plication, with low
recurrence rates and benefits in terms of quality of life, functionality and pain, as assessed by
analysis of variance (ANOVA), the Short Form-36 questionnaire (SF-36), the Ventral Hernia Pain
Questionnaire (VHPQ) and the Visual Analog Scale. In addition, the incidence of complications
related to the procedure was low. Conclusion: Therefore, abdominoplasty with plication has been
shown to be effective in the treatment of rectus abdominis diastasis, mainly due to improvements
in physical and emotional aspects, a reduction in body pain, a significant improvement in
aesthetics and abdominal muscle strength. In addition, in long-term follow-up there are no
differences in the recurrence rate when abdominoplasty is performed with plication or by another
surgical technique.