(b)(4).This report is related to a journal article, therefore no product will be returned for analysis and the batch history records cannot be reviewed as the lot number has not been provided.Attempts are being made to obtain the following information.To date no response has been provided.If further details are received at a later date a supplemental medwatch will be sent.Were the cases discussed in this article previously reported to ethicon? if yes, please provide a complaint reference number.Does the surgeon believe that ethicon product (nurolon or vicryl suture) involved caused and/or contributed to the post-operative complications described in the article (scar retraction or superficial local infection? does the surgeon believe there was any deficiency with the ethicon product (nurolon or vicryl suture) involved? citation: aesthetic surgery journal.33(4): 545¿560.Doi: 10.1177/1090820x13484493.(b)(4).
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It was reported via journal article: "title : dynamic definition mini-lipoabdominoplasty combining multilayer liposculpture, fat grafting, and muscular plication" author: alfredo e.Hoyos, md; mauricio e.Perez, md; and luisana castillo, md citation: aesthetic surgery journal.33(4): 545¿560.Doi: 10.1177/1090820x13484493.The authors described a multilayer and 360-degree approach, dynamic definition mini-abdominoplasty (ddm), to create athletic definition and contour and to restore a feminine appearance postpartum.A total of 181 consecutive women (age range: 20 to 56 years old; bmi below 30) underwent ddm between january 2005 and may 2012.Patients who were a minimum of 6 months postpartum and in good health were considered for inclusion in the study.During the surgical procedure, hemostasis was carefully performed in the flap, and the rectus abdominis muscle was plicated by 2-layer stitching consisting of double-x buried stitches with nurolon 0 sutures (ethicon) and vicryl 0 running sutures (ethicon).The flap and the umbilicus were then fixed to the muscular fascia with vicryl 4-0 running sutures (ethicon).Reported complications included scar retraction (n-1) and superficial local infection (n-4) which required antibiotic therapy.Dynamic definition mini-abdominoplasty is a safe and reproducible approach for select women who wish to regain feminine body features after childbirth.It produces better aesthetic results than traditional full abdominoplasty due to minimized scarring and due to muscular plication and fat grafting, which provide definition of the body contour and enhancement of the zones responsible for making women look slimmer and more feminine.
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