Espinosa-de-los-Monteros A, Avendaño-Peza H, Gómez-Arcive Z, Arista-de la Torre L

Language: Spanish
References: 13
Page: 36-44
PDF size: 6227.94 Kb.

ABSTRACT

Some women, who are candidates for abdominoplasty, concomitantly have an abdominal wall hernia. In this report we include some special situations in this group of patients. When a mini abdominoplasty is performed in the presence of an umbilical hernia, the umbilical stalk may be desinserted allowing access to the defect. Nevertheless, a midline incision to enter the abdominal cavity may be required in the context of a traditional abdominoplasty to spare the umbilicus. All abdominoplasty techniques render appropriate surgical access to the myopectineal orifice to repair groin hernias. Simple incisional hernias may be approached through abdominoplasty-type incisions that allow for complete abdominal wall exposure and treated accordingly. Complex incisional hernias are associated with higher complication rates after repair. For this reason, the proper selection of patients who may benefit from the combination of procedures must be made, according to the information based on the best evidence available.

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