Abdominoplasty and sutureless retrorectus prosthesis for medium-sized and large-sized ventral hernia: assessment of outcomes

• DOI: 10.4103/ejs.ejs_169_19
• Publication Date: 2020-06-05T02:35:45Z
• Authors: Amro El Hadidi; Omar Salah; Mohamed Abdelhalim; Ahmed Taha; Mohamed Shetiwy; Magdy Basheer
• Keywords: 03 medical and health sciences; 0302 clinical medicine; 3. Good health

Aim The primary objective of this prospective cohort study was to assess the outcomes of aesthetic abdominal wall reconstruction with repair of associated hernia utilizing a sutureless retromuscular technique. Materials and methods A single-center follow-up study of 67 consecutive patients with medium-sized ventral hernia and pendulous abdomen was conducted between January 2016 and May 2019. A detailed classification of degree of herniation, surgical complications, postoperative pain analysis, and patient satisfaction were analyzed. Results The study revealed that the overall hernia recurrence rate was quite low; only one (1.5%) patient had to undergo reoperation for recurrence. The postoperative infection rate was noted as 4.5%. Overall, 73% patients reported that they were extremely satisfied with the surgery. Conclusion Although there are many alternatives for repair of medium-sized to large-sized ventral hernia, we found retromuscular repair especially if associated with aesthetic abdominal wall reconstruction to be safe with fewer complications and good patient satisfaction.