Comparative Analysis of Isolated Abdominoplasty and Concomitant Hernio-Abdominoplasty

Introduction. According to the statistics of Plastic Surgery Unit, Mother and Child Clinical Hospital, Ufa (Russia), for 2019–2022, surgical interventions on the anterior abdominal wall rank third in popularity. The complexity of the approach to the treatment of patients with concomitant pathology of the anterior abdominal wall implies the need to replace isolated techniques with simultaneous surgical intervention in this area.

Aim. To analyze the experience of surgical treatment and postoperative management of patients with aesthetic and physiological pathology of the anterior abdominal wall, based on the clinical data of Plastic Surgery Unit, Mother and Child Clinical Hospital.

Materials and methods. The study enrolled 54 women who were undergoing inpatient and outpatient treatment in Plastic Surgery Unit, Mother and Child Clinical Hospital from 2019 to 2022. 31 of them made up group 1 (persons with aesthetic and functional deformity of the anterior abdominal wall but without a hernial defect), and 23 made up group 2 (persons with aesthetic and functional deformity of the anterior abdominal wall and with a midline ventral hernia). Abdominoplasty was performed in group 1, and hernio-abdominoplasty was performed in group 2. 

Results and discussion. Both abdominoplasty and simultaneous hernio-abdominoplasty enable the lost shape and contours of the anterior abdominal wall to be restored. Simultaneous hernio-abdominoplasty increases the time of surgical intervention, but reduces the multiplicity of necessary operations and anaesthetic support, the duration of the rehabilitation period, and financial costs. Abdominoplasty provides convenient access to perform tension-free hernioplasty. The simultaneous approach to the treatment of the anterior abdominal wall did not cause an increase in the incidence of complications.

Conclusion. Simultaneous hernio-abdominoplasty is a justified surgical intervention with a concomitant pathology of the anterior abdominal wall. An integrated approach improves immediate and long-term surgical out-comes.

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