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Morbidity Related to Incisional Hernia Repair with Abdominoplasty

Fatima Zulfiqar

Background: Tummy Tuck is an aesthetic surgery performed while repairing large size incisional hernia, few were repaired without Tummy Tuck which is avoided by some surgeons in order to avert any morbidity for the secondary maneuver, but on the insistence of patient, some surgeons prefer this combined procedure to be performed. Objectives: The aim of the study was to find out the morbidity while repairing incisional hernia with abdominoplasty and comparing it with incisional hernia repair alone. Study Design: A total of 50 cases were randomized prospectively to compare the repair of incisional hernia isolated/combined with abdominoplasty. Study place& Duration: Surgical unit of Allama Iqbal Memorial Teaching Hospital Sialkot from Jan 2015 to Dec 2019, patients were followed for months postoperatively. Results: The incidences were more in female as compared to male, significant relationship found between two groups regard to BMI (33.28 vs 34.96) (p 0.002), number of operation (p 0.001), defect size (p 0.001), mean hospital stay (p 0.001), insignificant relation found in regard to gender, residence, complications and recurrence (p-value>0.05). Conclusions: Post incisional hernia repair is still a challenge for surgeon to combine the two procedures to improve the quality of life with low morbidity and recurrences in well selected patients. Abdominoplasty is considered an operation linked to a considerable rate of morbidity. The convenience of simultaneously performing an incisional hernia repair and an abdominoplasty remains controversial. It is a cosmetic surgical procedure to improve the shape and appearance of the abdomen. During a tummy tuck, excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well.

Keywords: Incisional Hernia, Meshoplasty, Abdominoplasty, Seroma, Recurrence