The Repair of Incisional Hernia Following Roux-en-Y Gastric Bypass—With or Without Concomitant Abdominoplasty?

Abstract

The simultaneous abdominoplasty does not prolong the time of hospital stay of the patients undergoing incisional hernia repair. Infection is the most frequent complication of incisional hernia repair.

Management of Patients with Hernia or Incisional Hernia Undergoing Surgery for Morbid Obesity

“…Postoperative wound problems are not infrequent but can be managed in the outpatient setting. Overall, the hernia repair may be combined with the plastic surgery without significant increased risk [20]. …”

Sublay or onlay incisional hernia repair along with abdominoplasty: which is better? Long-term results

“…Body dysmorphism resulting from weight loss in excess of 30% is not usually amenable to full correction by standard abdominoplasty, but resection of loose skin in the lower abdomen tends to be the first request in postbariatric subjects [10]. Abdominoplasty in bariatric patients can be performed as a single procedure, also together with body contouring surgery or with abdominal hernia repair after open bariatric procedures [3, 11–16]. Given the excellent intraoperative exposure of the abdominal wall during abdominal contouring surgery, concurrent ventral, umbilical, or inguinal hernia repair is also often performed.…”

“…Given the excellent intraoperative exposure of the abdominal wall during abdominal contouring surgery, concurrent ventral, umbilical, or inguinal hernia repair is also often performed. Despite generally higher risk of complications (seroma formation, wound infection) following simultaneous abdominal wall surgery, most of the authors reported favorable outcomes of abdominoplasty combined with hernia repair [1, 3, 13, 16]. Complex body contouring surgery in postbariatric groups after massive weight loss has been discussed regarding postoperative results and patients’ life quality, however, there are no reports on long-term observations comparing abdominoplasty along with incisional hernia repair (IHR) performed using two separate techniques.…”

Patient Selection Optimization following Combined Abdominal Procedures

“…14,22,[26][27][28][29] Abdominal wall forces in obese patients and abdominal wall laxity following bariatric surgery can lead to the development of incisional hernias. 10,11,13,30 Most studies have reported favorable outcomes 10 Rubin et al suggested that body contouring procedures and hernia repair be performed concurrently in the presence of a small or moderate sized hernia but recommended a staged approach in very large hernias. 10,11,13,30 Most studies have reported favorable outcomes 10 Rubin et al suggested that body contouring procedures and hernia repair be performed concurrently in the presence of a small or moderate sized hernia but recommended a staged approach in very large hernias.…”

“…5 Abdominal wound dehiscence following laparotomy is not uncommon and often leads to incisional hernia in greater than 20 percent of patients. [10][11][12][13] Because of the optimized intraoperative exposure of the abdominal wall during abdominal contouring surgery, it can be tempting to combine them into a single-stage procedure. 8 Furthermore, patients with a body mass index greater than 31 kg/m 2 are prone to developing incisional hernias, rendering bariatric patients most susceptible.…”