METHOD FOR COMPLEX SURGICAL REPAIR OF HUMAN BODY Russian patent published in 2024 - IPC A61B17/00 A61B17/04 A61K35/35 A61P43/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to plastic surgery. Torsoplasty with liposuction, buttocks lipofilling with autologous adipose tissue, abdominoplasty with liposuction are performed successively. At the stage of torsoplasty, two adipocutaneous flaps are cut out to the right and to the left of the vertebral line. Cutting out of each flap is started with application of lower torsoplastic incision, wherein the incision line passes, crossing the vertebral line – at the level of the ptosis upper part of the intergluteal fold, scapular line – in the projection of the highest point of the gluteus maximus muscle, the mid-axillary line – on the border of the upper and middle one-third of the gluteus medius muscle, and the incision itself is started from the point of intersection of the posterior axillary line with the lower border of the torsoplastic incision. Further, the flap cutting line is drawn up to the scapular line, not reaching 1–1.5 cm to the upper border of the torsoplastic incision, which along the vertebral line passes through a point corresponding to the position of the upper fingers of the doctor holding the patient's skin fold, captured between the ptosis upper part of the intergluteal fold and the lower angle of the Michaelis rhombus in the standing position and moved upwards after the patient is tilted forward until touching the floor with the hands. And along the mid-axillary line through the point corresponding to the point at which the fingers of the doctor performing the traction of the fatty skin excesses, at which the thumb tends upwards, the rest pulls the skin-fat excess downwards, trying to connect with the thumb, touch. Then the flap cutting line is continued downwards until crossing the paravertebral line and the lower border of the torsoplastic incision. Both flaps are de-epidermised. Tissue is incised along the lines of the lower border of the torsoplastic incision, the incision is made along the vertebral line between the upper and lower border of the torsoplastic incision, subcutaneous fat is incised to the full depth on each side, subcutaneous fat is removed from each side with the exception of the subcutaneous fat of de-epidermised flaps, upper and lower boundaries of the torsoplastic incision are connected along the vertebral line. Each de-epidermised flap is fixed to a lumbar fascia by suturing at five points. First suture is applied in the area of the flap apex, suturing it to the lumbar fascia at point 2–3 cm above the intersection of the upper torsoplastic incision and the scapular line. Second suture is between the middle of the lateral edge of the flap and point 2–3 cm above the intersection of the upper torsoplastic incision and the posterior axillary line. Third suture is between the middle of the medial edge of the flap and point 1 cm above the intersection of the upper torsoplastic incision and the paravertebral line. Fourth suture is located at the middle of the distance between the first and the third suture. Fifth – at the middle of the distance between the first and second sutures. Tissues of the upper and lower boundaries of the torsoplastic incision are sutured at the level of the dermis, and intradermal sutures are applied.

EFFECT: method makes it possible to increase the effectiveness of the complex surgical plasty of the human body, which is objectively manifested by the reduction of ptosis of the gluteal region tissues and the replacement of the volume and density of the upper pole of the buttocks, and also to reduce susceptibility of newly formed outlines of lower part of body to gravitational changes.

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