Tummy Tuck: Q&A

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Is Abdominoplasty and Hernia Repair Without Mesh Suggestible?

My Mom is 60 and already had 4 surgeries, her last surgery hernia repair with mesh has failed now. Doctor has advised us to go for Abdominoplasty and hernia repair without mesh. Kindly let us know if is it safe, hernia repair without mesh.

7 Doctor Answers | Asked by malina
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Component Separation for Hernia Repair

Sometimes mesh with hernia repair fails and component separation can be a useful tool. It can repair up to a 20 cm defect in the midline. It uses your abdominal wall like an accordion to get this extra length.
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Is Abdominoplasty and Hernia Repair Without Mesh Suggestible

Not enough info to answer this one. Much will depend upon the nature of her previous surgeries, her size, her general health. In my practice, though I have fixed many hernias, for a patient with this history I would have her evaluated by a general surgeon with much hernia experience to participate. Historically, mesh is used because it has a lower failure rate than using a patient's own tissue. Thank you for your question, best wishes.
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Hernia

A primary repair of the hernia with release and realoignment of the muscles is always the best way to go. Your mother needs to be evaluated and needs to be medically cleared and safe for this type of surgery

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Repairing Recurrent Incisional Hernia at the time of an abdominoplasty

If your mother has had 4 surgical procedures to correct an incisional hernia of the abdomen then there are obviously several problems present. You did not mention your mother's weight or overall medical condition but these are factors to consider. Also you need to consider the quality of the anterior abdominal wall fascia. It it is of poor quality then it makes little sense to repeat the same type of operations again. Also you did not mention if the previous surgery... more
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Abdominoplasty & Hernia Repair Can Be Safely Combined

Hernia repair is often combined with abdominoplasty safely. A history of 4 surgeries and the use of mesh makes this a more complicated question that can be fully addressed online. Physical examination and evaluation of the results of a CT scan would be necessary. Further, the size, location of the hernia defect and type of mesh are also important. Component separation of the abdominal wall muscles to reduce the tension on the repair is a very effective procedure... more
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Abdominoplasty and Recurrent Hernia Repair without Mesh

This is a good question. Without knowing the complete hernia history and location, I can give a general answer but it may not apply to all cases. Hernias that are repaired and fail are common. Instead of using mesh again, the medical studies show that a procedure called Component Separation (or Separation of Parts) has a higher success rate then mesh used alone. This procedure was developed by a plastic surgeon and is now considered the best hernia repair technique for most central... more
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Abdominoplasty with hernia repair

Great question. I hear this question often as many tummy tuck patients have hernias when they present for consultation. Mesh has been used safely for years and most general surgeons are very familiar with its use. As a result, many patients have already heard about mesh hernia repairs and wish to know if it is needed for them. The answer is usually no when a full tummy tuck is being performed along with the repair. This approach is the most aggressive surgical dissection of a... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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