Concomitant hernioplasty and abdominoplasty versus hernioplasty of paraumbilical hernia in multiparous women, with pendulous abdomen

Orban, Yasser A.; Ismail, Adel M.; Awad, Joseph R.I.; Yassin, Mahmoud A.

doi:10.4103/ejs.ejs_187_21

Concomitant hernioplasty and abdominoplasty versus hernioplasty of paraumbilical hernia in multiparous women, with pendulous abdomen

Authors

Abstract

Background
The incidence of umbilical hernias in adults ranges from 10 to 25% in the literature and is increased in females. Abdominoplasty is a procedure used to flatten and improve abdominal contouring. Combined abdominoplasty and hernioplasty in women with pendulous abdomen, improves the cosmoses and life quality and decreases the postoperative complications.
Aim
To improve the outcomes of ventral hernia repair in multiparous females with pendulous abdomen.
Patients and methods
The present study was conducted on 40 women admitted for umbilical hernia repair. Patients were divided into two groups: group A included 20 patients managed by hernioplasty alone, while another 20 patients in group B were managed by concomitant hernioplasty and abdominoplasty.
Results
Both operative time and hospital stay were significantly longer in group B. Seroma was more common in group A but without a significant difference. Wound infection insignificantly complicated the first group. Abdominal deformity was significantly higher in group A.
Conclusion
Hernioplasty combined with abdominoplasty, for the management of paraumbilical hernia in multiparous females with pendulous abdomen, is a safe procedure with better esthetic results. It also decreases postoperative complications.

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