Tummy Tuck: Q&A
Ask a Question
Single Multiple Stitches or Double Running Stitch to Plicate the Facia?
Most of the doctors I went to for consults do the running stitch. However, the doc I felt most comfortable with does about 50 single stitches to plicate the muscles. Are there advantages or disadvantages with this method?
Tags:
9 Doctor Answers |
Asked by
gymcat
in Temecula area
+2
Plication technique during tummy tuck surgery
I think it is great you are doing your research, and learning all that you can about your surgery. I personally feel the most secure type of rectus fascia plication (often referred to as "muscle repair") is a double layer technique. I do the first layer in multiple "single" figure-of-8 stitches (also referred to as "interrupted" figure-of-8 stitches), and do a second layer on top that is a running continuous layer. Theoretically if a single stitch is...
more
+1
Running versus individual sutures for muscle plication
I am of the belief that it does not matter one bit how the fascia is repaired. You need to use strong suture and good technique. Personally, I have always used one layer of a running suture and have never to my knowledge had one break or tear. This is completely a personal preference issue and should not really come into play when you are choosing your surgeon. This is a decision with no one correct way to address it.
+1
VIDEO: Single or interrupted stitches for tummy tuck rectus muscle diastasis repair
This is up to personal opinion and experience. There are advantages and disadvantages to both. The repair in a running stitch depends on a single suture but there are less knots and potential for bacterial colonization. An interuppted repair has multiple points of reinforcement but multiple sites for colonization. A double layer repair, which I do, has the advantages but also the disadvantages of both. SEE VIDEO
see video
You might also like...
Real Stories
Tummy Tuck After Weight Loss - Burlington, ON
I am 5 days post op from a tummy tuck. I lost over 60 lbs and could not get rid of my belly...
+1
Muscle plication
Interesting technique question but the bottom line is that you felt most comfortable with that board certified plastic surgeon. That's who you should go with because other issues can come up and you'll have wished you did. Best wishes
+1
How SHOULD the Separated Tummy Muscles BEST be repaired: Single Multiple Stitches, Double Running Stitch etc
Regarding: "Single Multiple Stitches or Double Running Stitch to Plicate the Facia?
Most of the doctors I went to for consults do the running stitch. However, the doc I felt most comfortable with does about 50 single stitches to plicate the muscles. Are there advantages or disadvantages with this method?"
The muscle repair IF done well and IF it remains together is the foundation of the flat tummy and narrow waist that is the goal of every Tummy Tuck. If you read through...
more
+1
Muscle tightening sutures with abdominoplasty
I assume you are referring to rectus plication of an abdominoplasty to correct for diastasis recti and tightening the abdominal muscles. I prefer indivual figure of 8 sutureswith buried knots that are non-absorbable some surgeons before running single long sutures like a baseball stitch. The theory is that if you use a single long suture and it pulls through or breaks the whole repair will fall apart. If you use mutiple sutures and one loosens or breaks the whole repair does not come...
more
Los Angeles Plastic Surgeon
+1
Plication of the abdomen
I would not get bogged down with how many sutures are placed and how many layers are placed. A good repair is a good repair.
+1
Stitching in the muscles in a tummy tuck
Everybody has their own way of doing this, running or interrupted, permanent or absorbable. There is no absolutely right way. Ask the doctor whom you like and see if they have ever had to re-repair the muscle and there will be the answer for you.
+1
How many stiches in abdominal fascia plication
While many surgeons use a running suture technique, it does potentially cause a problem in the unlikely event that the suture breaks before healing is complete. A combination of 10 to 20 individual sutures may be better, sometimes in combination with a running suture. Fifty sutures can be done but seems a bit excessive. The single running sutures saves time (about 5 to 10 minutes compared to 10 to 20 individual sutures) but the individual sutures may provide more strength in the first...
more
Comments (0)