title: Abdominoplasty and simultaneous laparoscopic ventral hernia repair. Clinical study about 45 patients.
abstract: BACKGROUND
  Abdominoplasty procedures sometimes reveal the presence of ventral hernias (umbilical or trocar-site hernias). Our objective is then to deal with the excess abdominal skin and fat tissue at the same time as the ventral hernia. This can be done with a single surgical procedure combining abdominoplasty with umbilical transposition and laparoscopic ventral hernia repair (LVHR) with mesh. The main objective of our study is to assess the outcome of the combined procedure of abdominoplasty and LVHR with mesh, compared to abdominoplasty alone.
  
  
  METHODS
  A retrospective single-centre cohort study was conducted, including patients operated on with the combined method (ABDO-LVHR group) and patients who underwent abdominoplasty alone (ABDO group). We noted major and minor complications, with infection issues as our main concern.
  
  
  RESULTS
  We included 15 patients in the ABDO-LVHR group and 30 in the ABDO group. The results show no statistically significant difference for infectious complications in the ABDO-LVHR group compared to the ABDO group (20% vs 3.3%; P=0.100). There was no instance of complete umbilical necrosis. Other major and minor complications occurred at the rates typically described in the literature without difference between the two groups.
  
  
  CONCLUSIONS
  There was no significant difference between our two groups in terms of infectious complications. LVHR carried out at the same time as abdominoplasty with umbilical transposition is a positive combination of procedures. Further studies are necessary to confirm that the risk in terms of infectious complications is no higher than for abdominoplasty alone.
  
  
  METHODS
  III.
authors.affiliation: Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, CRHU de Nancy, hôpital central, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France. Electronic address: helene.legall@gmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Le Gall
authors.affiliation: Service de chirurgie générale, urgences et thoracique, CHRU de Nancy, Nancy, France.
authors.forename: N
authors.initials: N
authors.lastname: Reibel
authors.affiliation: Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, CRHU de Nancy, hôpital central, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France; Université de Lorraine, France.
authors.forename: A
authors.initials: A
authors.lastname: De Runz
authors.affiliation: Inserm, CIC-1433 épidemiologie clinique, 54000 Nancy, France; CHU de Nancy, pôle S2R, épidémiologie et évaluation cliniques, 54000 Nancy, France.
authors.forename: J
authors.initials: J
authors.lastname: Epstein
authors.affiliation: Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, CRHU de Nancy, hôpital central, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France; Université de Lorraine, France.
authors.forename: M
authors.initials: M
authors.lastname: Brix
mesh_terms: D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D015331:Cohort Studies; D003131:Combined Modality Therapy; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013526:Surgical Mesh; D014472:Umbilicus / Q000601:surgery
keywords: Abdominoplastie; Abdominoplasty; Cœlioscopie; Hernia; Hernie; Laparoscopy; Prothèse; Surgical mesh; Ventral; Éventration