Outcomes of Open Ventral Wall Hernia Repair with Abdominoplasty- Case Series

Abstract

Background

Ventral wall hernias are often associated with abdominal wall laxity and redundant skin. Combined hernia repair with abdominoplasty offers single-stage anatomical and aesthetic correction.

Methods

This retrospective case series included 25 patients who underwent concomitant open mesh hernioplasty with abdominoplasty. Demographic, operative, postoperative complication, umbilical viability, and 30-day recurrence data were analyzed.

Results

There were 21 females (84.0%) and 4 males (16.0%), with a mean age of 44.5 years. Diabetes mellitus was present in 17 patients (68.0%) and hypertension in 16 patients (64.0%). Onlay mesh repair was performed in 16 patients (64.0%) and retrorectus repair in 9 patients (36.0%). Superficial SSI occurred in 5 patients (20.0%) and deep SSI in 2 patients (8.0%). Umbilical viability was preserved in 19 patients (76.0%), mild epidermolysis occurred in 5 patients (20.0%), and deep ischemia/necrosis in 1 patient (4.0%). No recurrence was observed at 30 days.

Conclusion

Concomitant open ventral wall hernia repair with abdominoplasty is a feasible single-stage procedure with acceptable early wound outcomes, preserved umbilical viability, and no short-term recurrence.