title: Does Abdominoplasty Add Morbidity to Incisional Hernia Repair? A Randomized Controlled Trial.
abstract: Background Abdominoplasty is considered an operation linked to a considerable rate of morbidity. The convenience of simultaneously performing an incisional hernia repair and an abdominoplasty remains controversial. Methods A total of 111 patients were randomized prospectively to compare isolated incisional hernia repair and hernia repair when combined with abdominoplasty. Primary end points were in-hospital stay and early morbidity. Secondary end points were late morbidity, recurrences, and quality of life. Patients were followed-up for 24 months. Results Duration of the surgical procedure differed significantly between both groups (39 vs 85 minutes, P < .001) and postoperative hospital stay (2.5 vs 3.5 days; P < .001). No statistically significant differences in early or late morbidity between both groups were detected. The perceived quality of life for patients was higher in the combined surgery group (P < .001) that in the isolated hernia repair group. Conclusions Postoperative in-hospital stay and early and late morbidity do not differ significantly between isolated incisional hernia repair and simultaneous hernia repair with abdominoplasty, but associated abdominoplasty provides a higher quality of life when indicated.
authors.affiliation: La Vega Hospital, Murcia, Spain morenoegeaalfredo@gmail.com.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Moreno-Egea
authors.affiliation: La Vega Hospital, Murcia, Spain.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Campillo-Soto
authors.affiliation: La Vega Hospital, Murcia, Spain.
authors.forename: German
authors.initials: G
authors.lastname: Morales-Cuenca
mesh_terms: D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D000069290:Incisional Hernia / Q000453:epidemiology / Q000601:surgery*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010147:Pain Measurement; D010149:Postoperative Pain / Q000503:physiopathology; D018579:Patient Selection; D011183:Postoperative Complications / Q000503:physiopathology*; D011446:Prospective Studies; D012008:Recurrence; D012016:Reference Values; D018570:Risk Assessment; D016037:Single-Blind Method; D013526:Surgical Mesh; D013718:Tensile Strength; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology*
keywords: abdominoplasty; incisional hernia repair; morbidity; quality of life