Mini Abdomen Experience: Endoscopic-Assisted Mini Abdominoplasty: A Novel Approach for Mini-Abdominoplasty Minimally Invasive (MAMI) Abdominal Contouring

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Abstract

We aim to assess endoscopic surgical correction of recti diastasis (RD), showing a novel approach for mini-abdominoplasty minimally invasive (MAMI) abdominal contouring. Ideas: Regarding European Hernia Society (EHS) classification of RD, a widening greater than 2 centimeters of the linea alba is typically considered for surgical correction. The latest trends MILA and SCOLA approach for RD are indicated for patients with a body mass index (BMI) up to 28, considering only height and weight. Nevertheless, some may find this insufficient for certain types of patients. Despite advancements in skin retraction, there is still no evidence of how the devices may affect postoperative outcomes when added to these procedures. Consequently, thin patients with skin flaccidity and a clinical or imaging diagnosis of RD could benefit from a Mini Abdominoplasty with Minimally Invasive Approach (MAMI). Discussion: The main purpose of this study is to address a possible misfit indication for endoscopic surgical correction of RD, based on the common presentation of this condition. Regarding our experience, Mini Abdominoplasty with a Minimally Invasive Approach (MAMI) has the potential to enhance outcomes, reducing pain and bulging after surgery for patients requiring RD correction with skin laxity. Conclusion: MAMI surgery has been shown to be a safe and reproducible approach for selected women who wish to restore the feminine characteristics of the body after childbirth and have a rapid recovery. It produces better aesthetic results than the traditional full abdominoplasty due to the minimized scar and due to the muscle plication that provides definition of the body contour.

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