Wide abdominal rectus plication abdominoplasty for the treatment of chronic intractable XXXX .

@entity1 @entity615 @entity1643
BACKGROUND: A previous report demonstrated that the wide abdominal rectus plication abdominoplasty is an effective treatment modality in select @entity1 with @entity1643 who failed to achieve relief with conservative therapy. METHODS: The authors studied eight female @entity1 who presented with @entity1643 and marked lower abdominal wall muscular laxity. All had failed to respond to conservative management for their @entity615 . They all underwent wide abdominal rectus plication abdominoplasty. @entity1 selection and details of the procedure are discussed. RESULTS: There were no significant complications in this series, and all the @entity1 had prompt and @entity615 . Length of follow-up ranged from 2 to 11 years. CONCLUSIONS: Changes in the biomechanics of the lower abdominal musculature as a result of the wide abdominal rectus plication abdominoplasty are discussed in the context of increasing spinal stability, leading to an alleviation of @entity1643 . An argument is made that this abdominoplasty procedure produces a spine-stabilizing effect by (1) tightening the muscles of the lateral abdominal complex and thus increasing intraabdominal pressure and (2) increasing the efficiency of these muscles so that their effectiveness as spine stabilizers is increased. Even though this is a small series, the fact that all the @entity1 sustained long-term alleviation of their preoperative @entity615 suggests that the wide abdominal rectus plication abdominoplasty should be considered as an option for @entity1 with weak lower abdominal muscles and intractable @entity1643 who have failed conservative management.
