Abdominoplasty and sutureless retrorectus prosthesis for medium-sized and large-sized ventral hernia: assessment of outcomes

El Hadidi, Amro; Salah, Omar; Abdelhalim, Mohamed; Taha, Ahmed; Shetiwy, Mohamed; Basheer, Magdy

doi:10.4103/ejs.ejs_169_19

Abdominoplasty and sutureless retrorectus prosthesis for medium-sized and large-sized ventral hernia: assessment of outcomes

Authors

Abstract

Aim
The primary objective of this prospective cohort study was to assess the outcomes of aesthetic abdominal wall reconstruction with repair of associated hernia utilizing a sutureless retromuscular technique.
Materials and methods
A single-center follow-up study of 67 consecutive patients with medium-sized ventral hernia and pendulous abdomen was conducted between January 2016 and May 2019. A detailed classification of degree of herniation, surgical complications, postoperative pain analysis, and patient satisfaction were analyzed.
Results
The study revealed that the overall hernia recurrence rate was quite low; only one (1.5%) patient had to undergo reoperation for recurrence. The postoperative infection rate was noted as 4.5%. Overall, 73% patients reported that they were extremely satisfied with the surgery.
Conclusion
Although there are many alternatives for repair of medium-sized to large-sized ventral hernia, we found retromuscular repair especially if associated with aesthetic abdominal wall reconstruction to be safe with fewer complications and good patient satisfaction.

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