Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty

Background: Abdominoplasty was increasingly performed in daily surgical practice. It is usually associated with hernia. Different surgeons prefer to carry out hernioplasty with abdominoplasty. However, this was challenged by longer operative time and theoretical increase of associated complications....

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Autores principales:	Nora Abd-Elhalem El-Bahy, Hazem Ahmed Megahed, Ahmed Salama Sayouh
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	ventral hernia abdominoplasty hernioplasty paraumbilical aesthesia Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/5d9c0117c1eb416abaf44d686aacbf2a
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spelling	oai:doaj.org-article:5d9c0117c1eb416abaf44d686aacbf2a2021-12-02T17:15:19ZComparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty2636-41742682-378010.21608/ijma.2021.62017.1258https://doaj.org/article/5d9c0117c1eb416abaf44d686aacbf2a2021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_157406_e163a30da2c4e50410222288fdcd13ac.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Abdominoplasty was increasingly performed in daily surgical practice. It is usually associated with hernia. Different surgeons prefer to carry out hernioplasty with abdominoplasty. However, this was challenged by longer operative time and theoretical increase of associated complications. Objective of the Study: The present study aimed to assess the surgical outcome of the hernioplasty alone versus combined abdomino-hernioplasty. Patients and Methods:This study was conducted between September 2019 and September 2020. Forty patients with ventral hernias were included and divided randomly into two equal groups; First group for combined hernioplasty with abdominoplasty and the other group for hernioplasty alone. All patients were evaluated preoperatively by full history, physical examination and preoperative routine Lab investigations to assure fitness for surgery. Postoperatively, patients were observed overnight in hospital. Pain was controlled and ambulation was permitted as early as possible after surgery. To ensure patient comfort and abdominal support, a compressive binder was used. Patients were clinically reevaluated 7 days and at one, three and six months after surgery. Results:Groups A and B were comparable regarding patient age, gender, body mass index, and hernia type. The operative time and intraoperative bleeding were significantly higher in abdominoplasty group compared to hernioplasty group [154.01±13.73 minutes, 417.5±106.72 CC vs 64.75±9.11 and 92.5±32.55 respectively]. Early and late postoperative complications showed non-significant difference, except significant increase of recurrence among hernioplasty than abdominoplasty group [25.0% vs 0.0% respectively]. Abdominoplasty was associated with significant increase of total drain output, longer duration of drain and early mobility. Finally, there was significant increase of satisfaction with body size, body shape, relief of lower back pain, easy sex practice satisfaction and scar satisfaction in abdominoplasty group . Conclusion: Abdominoplasty with hernioplasty is a safe approach for ventral hernia repair, with superior aesthetic outcome and patient satisfaction than hernioplasty alone.Nora Abd-Elhalem El-BahyHazem Ahmed MegahedAhmed Salama SayouhAl-Azhar University, Faculty of Medicine (Damietta)articleventral herniaabdominoplastyhernioplastyparaumbilicalaesthesiaMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1359-1368 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ventral hernia abdominoplasty hernioplasty paraumbilical aesthesia Medicine (General) R5-920
spellingShingle	ventral hernia abdominoplasty hernioplasty paraumbilical aesthesia Medicine (General) R5-920 Nora Abd-Elhalem El-Bahy Hazem Ahmed Megahed Ahmed Salama Sayouh Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty
description	Background: Abdominoplasty was increasingly performed in daily surgical practice. It is usually associated with hernia. Different surgeons prefer to carry out hernioplasty with abdominoplasty. However, this was challenged by longer operative time and theoretical increase of associated complications. Objective of the Study: The present study aimed to assess the surgical outcome of the hernioplasty alone versus combined abdomino-hernioplasty. Patients and Methods:This study was conducted between September 2019 and September 2020. Forty patients with ventral hernias were included and divided randomly into two equal groups; First group for combined hernioplasty with abdominoplasty and the other group for hernioplasty alone. All patients were evaluated preoperatively by full history, physical examination and preoperative routine Lab investigations to assure fitness for surgery. Postoperatively, patients were observed overnight in hospital. Pain was controlled and ambulation was permitted as early as possible after surgery. To ensure patient comfort and abdominal support, a compressive binder was used. Patients were clinically reevaluated 7 days and at one, three and six months after surgery. Results:Groups A and B were comparable regarding patient age, gender, body mass index, and hernia type. The operative time and intraoperative bleeding were significantly higher in abdominoplasty group compared to hernioplasty group [154.01±13.73 minutes, 417.5±106.72 CC vs 64.75±9.11 and 92.5±32.55 respectively]. Early and late postoperative complications showed non-significant difference, except significant increase of recurrence among hernioplasty than abdominoplasty group [25.0% vs 0.0% respectively]. Abdominoplasty was associated with significant increase of total drain output, longer duration of drain and early mobility. Finally, there was significant increase of satisfaction with body size, body shape, relief of lower back pain, easy sex practice satisfaction and scar satisfaction in abdominoplasty group . Conclusion: Abdominoplasty with hernioplasty is a safe approach for ventral hernia repair, with superior aesthetic outcome and patient satisfaction than hernioplasty alone.
format	article
author	Nora Abd-Elhalem El-Bahy Hazem Ahmed Megahed Ahmed Salama Sayouh
author_facet	Nora Abd-Elhalem El-Bahy Hazem Ahmed Megahed Ahmed Salama Sayouh
author_sort	Nora Abd-Elhalem El-Bahy
title	Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty
title_short	Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty
title_full	Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty
title_fullStr	Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty
title_full_unstemmed	Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty
title_sort	comparative study to assess the outcome of the abdominohernioplasty versus the sole hernioplasty
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/5d9c0117c1eb416abaf44d686aacbf2a
work_keys_str_mv	AT noraabdelhalemelbahy comparativestudytoassesstheoutcomeoftheabdominohernioplastyversusthesolehernioplasty AT hazemahmedmegahed comparativestudytoassesstheoutcomeoftheabdominohernioplastyversusthesolehernioplasty AT ahmedsalamasayouh comparativestudytoassesstheoutcomeoftheabdominohernioplastyversusthesolehernioplasty
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Comparative Study to Assess the Outcome of the Abdominohernioplasty Versus the Sole Hernioplasty

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