Abdominoplasty with simultaneous laparoscopic umbilical hernia repair: A practical approach to preserve the umbilical vascularization.
Abdominoplasty
/ adverse effects
Adult
Combined Modality Therapy
/ methods
Feasibility Studies
Female
Hernia, Umbilical
/ surgery
Herniorrhaphy
/ adverse effects
Humans
Laparoscopy
Length of Stay
Necrosis
/ prevention & control
Operative Time
Organ Sparing Treatments
Postoperative Complications
/ prevention & control
Retrospective Studies
Umbilicus
/ blood supply
Abdominoplastie
Abdominoplasty
Cœlioscopie
Hernia
Hernie
Hernie ombilicale
Laparoscopic hernia repair
Laparoscopy
Nécrose ombilicale
Réparation herniaire cœlioscopique
Umbilical Blood Supply
Umbilical Hernia
Umbilical Necrosis
Umbilical Vascularization
Vascularisation ombilicale
Journal
Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
09
05
2018
accepted:
27
06
2018
pubmed:
12
12
2018
medline:
21
12
2019
entrez:
12
12
2018
Statut:
ppublish
Résumé
Umbilical necrosis is a well-known complication of abdominoplasty, the risk of this complication can be increased when an associated umbilical hernia requires further dissection in peri-umbilical region, potentially leading to umbilical devascularisation. Multiple minimally invasive open techniques were described to avoid this problem. The combined approach of abdominoplasty with laparoscopic umbilical hernia repair is one promising solution to avoid devascularising the umbilicus. A retrospective evaluation of patients who underwent concomitant abdominoplasty with laparoscopic umbilical hernia repair from 2007 to 2017 was carried out. All patients were followed up and evaluated for complications, including the incidence of umbilical skin necrosis. A total of 47 patients were included in this study. The average operative duration was 3.3hours with an average hospital stay of 2.5 days. No cases of postoperative umbilical necrosis were encountered. A mean follow-up period was 2.4 years showed no cases of hernia or rectus abdominis diastasis recurrence. Minor complications included 4 cases of dehiscence, one hematoma. There was no major complications. The concomitant use of laparoscopic umbilical hernia repair and abdominoplasty is a feasible approach to reduce the risks of umbilical devascularization. Especially in larger hernias and in patients with higher risk of recurrence.
Sections du résumé
BACKGROUND
BACKGROUND
Umbilical necrosis is a well-known complication of abdominoplasty, the risk of this complication can be increased when an associated umbilical hernia requires further dissection in peri-umbilical region, potentially leading to umbilical devascularisation. Multiple minimally invasive open techniques were described to avoid this problem. The combined approach of abdominoplasty with laparoscopic umbilical hernia repair is one promising solution to avoid devascularising the umbilicus.
METHODS
METHODS
A retrospective evaluation of patients who underwent concomitant abdominoplasty with laparoscopic umbilical hernia repair from 2007 to 2017 was carried out. All patients were followed up and evaluated for complications, including the incidence of umbilical skin necrosis.
RESULTS
RESULTS
A total of 47 patients were included in this study. The average operative duration was 3.3hours with an average hospital stay of 2.5 days. No cases of postoperative umbilical necrosis were encountered. A mean follow-up period was 2.4 years showed no cases of hernia or rectus abdominis diastasis recurrence. Minor complications included 4 cases of dehiscence, one hematoma. There was no major complications.
CONCLUSION
CONCLUSIONS
The concomitant use of laparoscopic umbilical hernia repair and abdominoplasty is a feasible approach to reduce the risks of umbilical devascularization. Especially in larger hernias and in patients with higher risk of recurrence.
Identifiants
pubmed: 30527353
pii: S0294-1260(18)30111-0
doi: 10.1016/j.anplas.2018.06.015
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
237-244Informations de copyright
Copyright © 2018 Elsevier Masson SAS. All rights reserved.