Abdominoplasty for Ventral Abdominal Hernia Mesh Repair

Short communication


Wagih Mommtaz Ghnnam

Department of General Surgery , Mansoura Faculty of Medicine, Mansoura University Egypt

JMJ 2009,Vol.9, No.3: 211-214


Background: Abdominoplasty is a commonly performed truncal rejuvenation procedure, the popularity of which appears to be increasing. Abdominal hernia frequently occurs along with an excess of skin and subcutaneous tissue irregularly distributed on the abdomen, chest and between the limbs. Large pannus results in weight bearing down on the anterior abdominal wall and may lead to hernia recurrence although this has not been proven. Objective: This study reports the complications and initial results of mesh hernia repair with an abdominoplasty. Methods: 24 patients with a mean age of 51.6±5.5 years were treated for ventral abdominal hernias with an abdominoplasty. technique with mesh repair. Results: The length of hospital stay was 11 ± 4 days ranging from 6 to 22 days. Mean operative time was 178.3±30.9 minutes. The most common complication was seroma (20.8%), followed by localized flank bulging (16.7%), wound infection (8.3%), partial wound dehiscence with skin necrosis (8.3%) and unacceptable scarring of the abdominal incisions (4.2%). Conclusions: Abdominoplasty procedure is a good approach to midline mesh hernia repair in patients who are suitable candidate for abdominoplasty.

Keywords: Abdominoplasty, Mesh Repair, Abdominal hernia

Link/DOI: http://www.jmj.org.ly/PDF/autumn2009/211.pdf