Tucked and treated- a case series on outcome of meshplasty with abdominoplasty for incisional hernia

Authors

  • Nagamallesh C. S. Department of General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Karnataka, India
  • Nandini S. Tanwar Department of General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Karnataka, India
  • F. Sadiq Nawaz Department of General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Karnataka, India
  • Padmanath Bhat Department of General Surgery, Sapthagiri Institute of Medical Sciences and Research Centre, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20214383

Keywords:

Incisional hernia, Obesity, Meshplasty, Abdominoplasty, Aesthetics

Abstract

Incisional hernia is the second most common type of hernia. Incisional hernia occurs in 10-20% of patients who were subjected to abdominal surgery in India. Here we are presenting a case series of 20 patients with incisional hernia and obesity. Body mass index (BMI) ranges from 28 to 35 in all cases. Females outnumbered the male in the ratio of 4:1 and 40% of cases had a previous history of caesarean section. All cases were operated by combining open polypropylene meshplasty and abdominoplasty techniques and follow up consultations were done for 1 year. 10% of cases had post-op wound infections, who were known to be diabetic. They were managed with appropriate antibiotics and maintained strict glycemic control. 90% of patients were satisfied from the procedure performed which improved their quality of life, significant cosmetic outcome and no recurrence. 10% of cases had recurrence after heavy weight lifting following surgery (BMI was 36). By incorporating the above mentioned techniques in hernia repair, recurrence rate and complications were reduced, quality of life and aesthetic outcome are enhanced.

References

Muysoms FE, Miserz M, Benevoet F, Campanelli G, Champault GG,5 Chelala E, et al. C of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407-14.

Dietz UA, Menzel S, Lock J, Wiegering A. The Treatment of Incisional Hernia. Deutsches Arzteblatt Int. 2018;115(3):31-7.

Bucknall TE, Cox PJ, Ellis H. Burst abdomen and incisional hernia: A prospective study of 1129 major laparotomies. British Medical J. 1982;284:931-3.

Zinner MJ, Ashley SW. Maingot’s abdominal operation. Abdominal wall Part II, 12th edition. The Mc graw-Hill companies. 1997;150.

Ellis H, Gajraj H, George CD. Incisional herniaswhen do they occur? Br J Surg. 1983;70:290

Thorne CH. Grabb and Smith’s plastic surgery. Abdominoplasty and belt lipectomy. Chapter 66. 7th edition. Wolters Kluwer. 2015;689-91.

Malviya A, Patel A, Bhardwaj G, Bulchandani HP, Saini V. A comprehensive study on the incidence and management of incisional hernia. Int Surg J. 2017;4:2303-7.

Conze J, Klinge U, Schumpelick V. Narbenhernien [Incisional hernia]. Chirurg. 2005;76(9):897-909.

Cheesborough JE, Dumanian GA. Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for ventral hernia and severe rectus diastasis repairs. Plast Reconstr Surg. 2015;135:268-76.

Shermak M. Hernia repair and abdominoplasty in gastric bypass patients. Plast Reconstr Surg. 2006;117:1145-50.

Rogmark P, Petersson U, Bringman S, Eklund A, Ezra E, Sevonius D, Smedberg S, Osterberg J, Montgomery A. Short-term outcomes for open and laparoscopic midline incisional hernia repair: a randomized multicenter controlled trial: the ProLOVE (prospective randomized trial on open versus laparoscopic operation of ventral eventrations) trial. Ann Surg. 2013;258(1):37-45.

Downloads

Published

2021-10-28

Issue

Section

Case Series