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Does Abdominoplasty Add Morbidity to Incisional Hernia Repair? A Randomized Controlled Trial.
Alfredo Moreno-Egea1, Álvaro Campillo-Soto2, German Morales-Cuenca2
1La Vega Hospital, Murcia, Spain morenoegeaalfredo@gmail.com.
Surgical Innovation
|May 1, 2016
Summary
Combining incisional hernia repair with abdominoplasty does not increase complications or hospital stay. This combined surgery significantly improves patients
Area of Science:
- Plastic Surgery
- General Surgery
Background:
- Abdominoplasty is associated with significant morbidity.
- The safety and efficacy of combining incisional hernia repair with abdominoplasty are debated.
Purpose of the Study:
- To compare outcomes of isolated incisional hernia repair versus combined incisional hernia repair and abdominoplasty.
- To evaluate in-hospital stay, morbidity, recurrence, and quality of life.
Main Methods:
- Prospective randomized trial involving 111 patients.
- Comparison between isolated incisional hernia repair and combined surgery groups.
- 24-month follow-up period.
Main Results:
- Combined surgery had longer procedure duration (85 vs 39 minutes) but similar postoperative hospital stay (3.5 vs 2.5 days).
- No significant differences in early or late morbidity or recurrence rates between groups.
- Patients undergoing combined surgery reported a higher quality of life (P < .001).
Conclusions:
- Simultaneous incisional hernia repair and abdominoplasty is safe, with no increase in morbidity or hospital stay compared to isolated hernia repair.
- Combined abdominoplasty offers enhanced quality of life for selected patients.
