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Concomitant abdominoplasty and umbilical hernia repair using the Ventralex hernia patch
Ryan M Neinstein1, Alan Matarasso, David L Abramson
1New York and Great Neck, N.Y.; and Englewood, N.J. From private practice; Manhattan Eye, Ear, and Throat Hospital, North Shore Long Island Jewish Health System; Lenox Hill Hospital; Mount Sinai School of Medicine; and the Department of Plastic Surgery, Englewood Hospital and Medical Center.
This study demonstrates a safe and effective technique for repairing umbilical hernias during abdominoplasty using the Ventralex patch, preserving umbilical vascularity and achieving excellent cosmetic results.
Area of Science:
- Plastic Surgery
- General Surgery
Background:
- Abdominoplasty patients frequently have concurrent umbilical hernias requiring simultaneous treatment.
- Combined abdominoplasty and umbilical hernia repair poses a risk to umbilical vascularity.
- A novel technique using the Ventralex hernia patch for simultaneous repair is presented.
Purpose of the Study:
- To evaluate the safety and efficacy of using the Ventralex hernia patch for umbilical hernia repair during abdominoplasty.
- To assess the impact on umbilical vascularity and overall abdominoplasty outcomes.
Main Methods:
- A prospective study included 11 female patients undergoing abdominoplasty with Ventralex patch umbilical hernia repair.
- The technique involved a minimal access incision through the rectus fascia.
- Patients were followed postoperatively to assess outcomes and complications.
Main Results:
- No instances of umbilical vascular compromise were observed.
- The hernia repair did not negatively affect abdominoplasty results.
- One patient experienced transient umbilical swelling, which resolved within six months.
Conclusions:
- The Ventralex patch facilitates a fast, reliable umbilical hernia repair during abdominoplasty.
- This minimal access technique effectively preserves the umbilical blood supply.
- The procedure is suitable for patients requiring combined abdominoplasty and umbilical hernia repair.
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