Abdominoplasty Combined with Liposuction and Abdominal Herniorraphy as a Single Procedure for Ventral Hernia Repair- A Review of 6 Patients

Abstract

Abdominoplasty is a commonly performed aesthetic procedure. Indications for this procedure include: fascial laxity or diastasis of the abdominal wall, abdominal wall hernias and aesthetic concerns of patient. Ventral hernias may be diagnosed clinically or intraoperatively during abdominoplasty. Hence, the objective of this paper is to review six (6) patients who had abdomiinoplasty combined with liposuction and abdominal herniorraphy as a single procedure for ventral hernia repair. Indication for surgery was purely cosmetic in 33.3% (n=2) while the other patients had co-existing hernia. One patient had umbilical hernia, 2 patients had epigastric hernia and one of the patients had combined paraumblical and epigastric hernia. All the patients had diastasis of the rectus. The abdominal hernias were diagnosed pre- operatively. All patients had liposuction from the trunk and the upper abdomen prior to abdominoplasty on same sitting. The procedures were done under general anesthesia with endotracheal intubation .The liposuction was done using the tumescence technique after which the traditional abdominoplasty was done. Herniorrhaphy was done along with rectal plication. Wound was closed in two layers.One patient had peri- umbilical abscess which resolved with drainage. All the patients had good outcome and expressed satisfaction with the procedure. Abdomiinoplasty combined with liposuction and abdominal herniorraphy as a single procedure is safe.