Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity

Aim. To study the results of simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity. Material and Methods. Simultaneous adbominoplasty and laparoscopic hernioplasty for ventral hernias were performed in 31 patients. The mean age of the patients was 53.7±6....

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Autores principales:	V.V. Boiko, K.Yu. Parkhomenko
Formato:	article
Lenguaje:	EN UK
Publicado:	Danylo Halytsky Lviv National Medical University 2020
Materias:	obesity, fat apron, ventral hernia, abdominoplasty, laparoscopic alogernioplasty, result Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/09c0a16e08a04f75a4ee87c3d81ca605
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spelling	oai:doaj.org-article:09c0a16e08a04f75a4ee87c3d81ca6052021-11-10T19:49:51ZSimultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity1029-42442415-330310.25040/aml2020.04.045https://doaj.org/article/09c0a16e08a04f75a4ee87c3d81ca6052020-12-01T00:00:00Zhttps://amljournal.com/index.php/journal/article/view/8https://doaj.org/toc/1029-4244https://doaj.org/toc/2415-3303Aim. To study the results of simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity. Material and Methods. Simultaneous adbominoplasty and laparoscopic hernioplasty for ventral hernias were performed in 31 patients. The mean age of the patients was 53.7±6.5 (95% CI 51.3; 56.0). All patients were diagnosed as obese (body mass index more than 30 kg/m2). Incisional hernia was the main indication for surgery in the majority of patients - 20 (64,5%); in 11 (35%) cases a primary hernia of median localization was detected. Immediate and long-term results of surgical interventions were studied. Results and Discussion. In the postoperative period after drainage removal accumulations of fluid (seromas) were revealed in 9 (29%) patients using ultrasound investigation; in 2 cases they were evacuated by puncture. In one case, a marginal necrosis of the skin around the formed umbilicus occurred (healing by secondary tension); in another, lower lobe pneumonia was diagnosed (eliminated by antibiotic therapy). The average length of hospital stay was 7.3±1.4 (95% CI 6.8; 7.9) days, 6-8 days in most cases. Only two patients were hospitalized for more than 8 days due to postoperative complications. No recurrences of hernias were registered at follow-up examination 1-3 years later; good cosmetic results were achieved. Conclusions. In patients with ventral hernias with obesity and fat apron it is advisable to perform simultaneous intervention - abdominoplasty and allogernioplasty. It is advisable to perform alloplasty of ventral hernias with simultaneous abdominoplasty via laparoscopic access according to IPOM technology with the use of mesh endoprosthesis with antiadhesive coating. Simultaneous abdominoplasty causes an increase in the frequency of seromas in the postoperative period, but it does not increase the duration of hospital treatment. Simultaneous surgeries allow achieving good cosmetic results and do not increase the incidence of hernia recurrence.V.V. BoikoK.Yu. ParkhomenkoDanylo Halytsky Lviv National Medical Universityarticleobesity, fat apron, ventral hernia, abdominoplasty, laparoscopic alogernioplasty, resultMedicine (General)R5-920ENUKActa Medica Leopoliensia, Vol 26, Iss 4, Pp 45-49 (2020)
institution	DOAJ
collection	DOAJ
language	EN UK
topic	obesity, fat apron, ventral hernia, abdominoplasty, laparoscopic alogernioplasty, result Medicine (General) R5-920
spellingShingle	obesity, fat apron, ventral hernia, abdominoplasty, laparoscopic alogernioplasty, result Medicine (General) R5-920 V.V. Boiko K.Yu. Parkhomenko Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
description	Aim. To study the results of simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity. Material and Methods. Simultaneous adbominoplasty and laparoscopic hernioplasty for ventral hernias were performed in 31 patients. The mean age of the patients was 53.7±6.5 (95% CI 51.3; 56.0). All patients were diagnosed as obese (body mass index more than 30 kg/m2). Incisional hernia was the main indication for surgery in the majority of patients - 20 (64,5%); in 11 (35%) cases a primary hernia of median localization was detected. Immediate and long-term results of surgical interventions were studied. Results and Discussion. In the postoperative period after drainage removal accumulations of fluid (seromas) were revealed in 9 (29%) patients using ultrasound investigation; in 2 cases they were evacuated by puncture. In one case, a marginal necrosis of the skin around the formed umbilicus occurred (healing by secondary tension); in another, lower lobe pneumonia was diagnosed (eliminated by antibiotic therapy). The average length of hospital stay was 7.3±1.4 (95% CI 6.8; 7.9) days, 6-8 days in most cases. Only two patients were hospitalized for more than 8 days due to postoperative complications. No recurrences of hernias were registered at follow-up examination 1-3 years later; good cosmetic results were achieved. Conclusions. In patients with ventral hernias with obesity and fat apron it is advisable to perform simultaneous intervention - abdominoplasty and allogernioplasty. It is advisable to perform alloplasty of ventral hernias with simultaneous abdominoplasty via laparoscopic access according to IPOM technology with the use of mesh endoprosthesis with antiadhesive coating. Simultaneous abdominoplasty causes an increase in the frequency of seromas in the postoperative period, but it does not increase the duration of hospital treatment. Simultaneous surgeries allow achieving good cosmetic results and do not increase the incidence of hernia recurrence.
format	article
author	V.V. Boiko K.Yu. Parkhomenko
author_facet	V.V. Boiko K.Yu. Parkhomenko
author_sort	V.V. Boiko
title	Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
title_short	Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
title_full	Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
title_fullStr	Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
title_full_unstemmed	Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
title_sort	simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity
publisher	Danylo Halytsky Lviv National Medical University
publishDate	2020
url	https://doaj.org/article/09c0a16e08a04f75a4ee87c3d81ca605
work_keys_str_mv	AT vvboiko simultaneousabdominoplastyandlaparoscopicventralherniaalloplastyinpatientswithobesity AT kyuparkhomenko simultaneousabdominoplastyandlaparoscopicventralherniaalloplastyinpatientswithobesity
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Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity

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