TITLE:
A Proposed Mesh Placement for Repair of Ventral Hernia and Contouring of the Abdomen
AUTHORS:
Adel Tolba, Wael Shelfa, Hazem Nour, Hessen Yaser, Mansour Salah
KEYWORDS:
Abdominoplasty, Pendulous Abdomen, Contour
JOURNAL NAME:
Surgical Science,
Vol.6 No.10,
October
22,
2015
ABSTRACT: Introduction: Abdominal wall defects and muscle
redundancy in the form of protruded abdomen still represent a challenging
problem. The aim of this article is to reconstruct the abdominal wall and
regain the abdominal contour through the application of biosynthetic meshes in
certain fashion. Patients and Methods: this is a prospective study done 25
patients with long standing ventral hernia and lax abdominal muscle wall. All patients
were performed at Zagazig university hospitals in the period between September 2011
and November 2013. Polypropylene mesh is used for every patient after
anatomical hernia repair for hernioplasty and then shaping like outstretched
hand (fingers processes). The aim is to reinforce the abdominal wall and reshape
the abdomen. Results: regarding to the aesthetic aspect and success rate of the
abdominal wall reconstruction, we have a good satisfactory results without
recurrence in a period of 2 years follow up. Three patients are suffered from
wound infection and partial edge ischemia in two patients. Bleeding and delayed
wound healing in ten patients and persistent seroma are occurred in fife
patients. Conclusion: It is safe with a good patient satisfaction to combine
ventral hernia repair and abdominoplasty in cases with excess skin and
musculofascial laxity of the abdominal wall (pendulous abdomen) with
application of this finger processes mesh, after following the proper technique
and precautions.