BACKGROUND: Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients. METHODS: Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients' demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18 and 21. RESULTS: The age range was 31 to 55 years (38.5+/-9.5 years) in group A and 25 to 58 years (37.8+/-9.1 years) in group B, while the mean BMI was 31.4 to 39.9 kg/m2 (32.6 kg/m2) in group A and 32.7 to 37.4 kg/m2 (31.5 kg/m2) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05). CONCLUSIONS: Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.
Abdomen ; Body Mass Index ; Demography ; Fibrin ; Fibrin Tissue Adhesive ; Humans ; Incidence ; Obesity ; Postoperative Complications ; Seroma ; Suction

This study delves into the realm of sports psychology, aiming to investigate the intricate relationship between family dynamics and athlete nutrition within the context of the Saudi youth national team. Employing a descriptive research approach, a comprehensive questionnaire was administered, comprising three core dimensions: dietary intake assessment, the psychological impact of family dynamics, and individual beliefs regarding their influence on athlete nutrition. The questionnaire encompassed 28 statements and was administered to a sample of 90 players selected from the Saudi youth national team. From a sports psychology perspective, the study uncovers valuable insights. Firstly, it highlights the moderate impact of family dynamics as a social system on the dietary habits of Saudi youth national team players. It is evident that designated mealtimes serve as a crucial social gathering, wherein the family underscores the significance of adequate water consumption and the selection of nutritious foods. Remarkably, this study discerns no statistically significant differences at the 0.05 level concerning the relationship between family dynamics and sports nutrition, even when considering variables such as age and economic status among the Saudi youth national team players. In light of these sports psychology-oriented findings, it is recommended that future research endeavors within this domain explore the psychological aspects of how families support and influence athletes in maintaining their health, fitness, and physique through specific dietary regimens. This may include examining the familial dynamics and their psychological impact on athletes’ adherence to nutritional guidelines. Moreover, it is imperative to consider the role of familial support in mitigating psychological stressors related to nutrition and its impact on athletic performance. The integration of sports psychology principles into nutritional counseling and education for athletes and their families could prove highly beneficial. By enhancing understanding and communication within the family unit, athletes may better navigate the challenges of adhering to optimal nutrition strategies. Consequently, this approach has the potential to bolster not only athletic performance but also the overall psychological well- being of athletes, ensuring they are better equipped to handle the pressures of competitive sports.