Treatment of abdominal wall eventrations associated with abdominoplasty techniques

Abstract

An experimental and clinical study using alloplastic materials (Marlex and Prolene mesh) for repairing large defects of the abdominal wall is reported. A defect was created in the experimental model to simulate an anatomical disarrangement of the musculo-aponeuroticfascial complex of the abdominal wall and the surgical correction of this deformity. Macroscopic and microscopic observations of the operated area were done to demonstrate the good integration of the surrounding tissues with the mesh. In a clinical study, 16 patients, presenting large eventrations of the abdominal wall, were surgically treated using Marlex or Prolene mesh to reinforce the abdominal wall. Two techniques of abdominoplasty, vertical and horizontal, were performed on these patients, according to the location of previous scars. The advantages of using alloplastic materials to reinforce the abdominal wall and the cosmetic results of both abdominoplasty techniques are discussed.

Introductory Chapter: Different Types of Parietal Hernias, Diagnosis and Treatment

“…Aesthetic disgraces are those that modify the outline of the body, due mainly to the flaccidity of the abdominal wall, accumulation of fat, and weakening of both the aponeurosis and muscle system [9]. with or without associated scar…”

Diastasis recti associated with midline hernias: Totally subcutaneous video-endoscopic repair

“…It produces deterioration in the functions of the abdominal wall muscles with an associated muscular imbalance and chronic back pain. [ 1 2 ]…”

Diastasis Recti and Other Midline Defects: Totally Subcutaneous Endoscopic Approach

“…Clinically represents an aesthetic and symptomatic problem. It produces malfunction of the abdominal wall muscles with an associated muscular imbalance and chronic back pain [1,2].…”