Our Summary

This research paper studies different methods of performing two surgeries at the same time: full abdominoplasty (tummy tuck) and umbilical hernia repair. The researchers wanted to see how successful these combined surgeries were in terms of hernia repair and how well the belly button survived the procedures. They looked at studies up until the end of 2019, but ignored ones that involved other types of hernia repair or mini-abdominoplasty (where the belly button isn’t moved).

They found six studies that matched their criteria. Some of these used an open surgical approach, while others used a laparoscopic (minimally invasive) approach. Different techniques were used to repair the hernia, including placing a mesh in certain areas or using sutures.

The studies showed that none of the patients experienced a recurrence of their hernia, got an infection in the mesh, or had their belly button die off. This suggests that it’s safe to perform the two surgeries at the same time, regardless of whether an open or laparoscopic approach is used. However, the researchers warn that more detailed studies are still needed to confirm these findings.

FAQs

  1. What is the aim of the study on simultaneous full abdominoplasty and umbilical hernia repair?
  2. What were the primary outcomes analyzed in the study on abdominoplasty and UH repair?
  3. What is the conclusion of the study on simultaneous abdominoplasty and UH repair?

Doctor’s Tip

A helpful tip a doctor might give a patient considering abdominoplasty is to carefully follow post-operative care instructions to ensure proper healing and minimize the risk of complications. This may include avoiding strenuous activities, maintaining a healthy diet, staying hydrated, and attending follow-up appointments with your surgeon. It is also important to communicate any concerns or changes in your recovery with your doctor promptly.

Suitable For

Patients who are typically recommended for abdominoplasty include those who have excess skin and fat in the abdominal area that does not respond to diet and exercise, individuals who have lost a significant amount of weight and have loose, sagging skin, women who have experienced multiple pregnancies and have stretched abdominal muscles and skin, and individuals with a hernia in the umbilical region. This study specifically focused on patients undergoing umbilical hernia repair in combination with abdominoplasty.

Timeline

Before abdominoplasty:

  • Patient consults with a plastic surgeon to discuss their goals and expectations for the procedure
  • Patient undergoes a physical examination and medical history review to determine if they are a suitable candidate for abdominoplasty
  • Patient may be required to undergo pre-operative tests and evaluations to ensure they are healthy enough for surgery
  • Patient receives pre-operative instructions on how to prepare for surgery, including guidelines on diet, medication, and smoking cessation
  • Patient may need to make arrangements for post-operative care and recovery

After abdominoplasty:

  • Patient undergoes the surgical procedure, which typically involves removal of excess skin and fat from the abdomen, tightening of the abdominal muscles, and repositioning of the belly button
  • Patient is monitored in the recovery room immediately after surgery and may be discharged home the same day or after a short hospital stay
  • Patient experiences swelling, bruising, and discomfort in the abdominal area, which can be managed with pain medication and compression garments
  • Patient is advised to rest and avoid strenuous activities for a few weeks following surgery to allow for proper healing
  • Patient attends follow-up appointments with the plastic surgeon to monitor progress and address any concerns
  • Patient gradually resumes normal activities and may begin to see the full results of the abdominoplasty after several months

What to Ask Your Doctor

  1. What are the potential risks and complications associated with undergoing abdominoplasty and umbilical hernia repair simultaneously?
  2. How long is the recovery period expected to be after this combined procedure?
  3. Will I need to wear a compression garment after surgery, and if so, for how long?
  4. What type of anesthesia will be used during the procedure?
  5. How long will the results of the abdominoplasty last?
  6. Will I need to follow a specific diet or exercise regimen after the surgery?
  7. How will the appearance of my belly button change after the umbilical hernia repair?
  8. Will I need to have any follow-up appointments after the surgery?
  9. What are the chances of the umbilical hernia recurring after the repair?
  10. Can you provide me with before and after photos of previous patients who have undergone this combined procedure?

Reference

Authors: Person H, Mojallal A, Braye F, Shipkov H. Journal: Aesthet Surg J. 2021 Jun 14;41(7):NP831-NP839. doi: 10.1093/asj/sjab094. PMID: 33617639