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ORIGINAL ARTICLE
Year : 2020  |  Volume : 39  |  Issue : 1  |  Page : 183-188

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


1 Department of Surgery, Mansoura University Hospital, Mansoura; Department of Surgery, Buraidah Central Hospital, Saudi Arabia, Egypt
2 Department of Surgery, Suez Canal University, Suez, Egypt
3 Department of Surgery, Mansoura University Hospital, Mansoura, Egypt

Correspondence Address:
MD Amro El Hadidi
General Surgery Department, Mansoura Faculty of Medicine, Mansoura, Egypt, 35111
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_169_19

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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.


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