Can abdominoplasty and hernia repair be done in one operation ?

They can and they normally should.

A lot depends on the extent of the hernia, and BMI guidelines for repairing larger hernias together with a tummy tuck a normally somewhat stricter.

Case example patient after massive weight loss, abdominoplasty and hernia repair

The scar shown is the most frequently used extended cesarean type.

The postoperative picture shows the appearence 5 months post op and does normally face much further in the follwoing year.

The scar should ideally be located as low as possible.

Especially in patients seeking abdominoplasty  after bariatric surgery (gastric band) it is not uncommon to also find hernias of varying sizes, mostly umbilical hernias which can be repaired together with the abdominoplasty (tummy tuck) without problems.

In some cases, and larger hernias, I use the deepithelialised dermis of the resected skin as a kind of natural mesh (so called coriumplasty) to reinforce the abdominal wall.

If hernia repair and abdominoplasty is done together, this may lead to a slightly raised risk of serome (fluid collection). This is not a grave compliacation but nevertheless happens more often after beformentioned combination.

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Director and Chief Surgeon
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es