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Hernia Repair w/ Tummy Tuck - More Painful?

asked 1 year ago by eam76 in nj
Latest answer by Tom J. Pousti, MD
Question viewed 491 times
Tags: hernia, pain

I need to get umbilical hernia repair done with my tummy tuck and muscle repair, will the umbilical hernia repair add extra pain

18 answers to Hernia Repair w/ Tummy Tuck - More Painful?

Tummy Tuck and Umbilical Hernia?

Thank you for the question. In my opinion, the best time to repair the umbilical hernia is at the same time that you're having a tummy tuck done. At that time, the hernia is easily exposed and repaired, negating the need for further surgery. Care must be taken during the performance umbilical hernia repair to avoid compromise of blood flow to the overlying skin. Repair of the umbilical hernia will not necessarily increase your discomfort postoperatively. Please... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Pain is about the same

Since you are planning on having the hernia repair done it is a great idea to add tummy tuck at the same time. The recovery time and the pain level are similar for both procedures. Many patients that need hernia repair often combine this procedure with full or mini abdominoplasty depending on their needs. The recovery time takes on average about 3-5 weeks. It varies from patient to patient but most patients can drive a car and go back to work after one week

Gregory Turowski, MD, PhD
Chicago Plastic Surgeon

Hernia repair does not add pain to tummy tuck.

Hi. 1) As you can see from my video, most of tummy tuck pain is associated with the drain. The good news is that we are getting away from drains, and replacing them with internal quilting sutures. 2) Also minimal undermining preserved blood supply and minimizes pain. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

A hernia at the time of abdominoplasty will not add to the pain.

A hernia at the time of abdominoplasty will not add to the pain. Abdominoplasty which usually includes tightening the abdominal muscles is a painful procedure. The pain can be controlled by medication. Any pain associated with the hernia repair will not be noticed in the context of the normal pain felt after abdominoplasty. G. Gregory Gallico, III, MD, FACS Associate Professor, Plastic Surgery Massachusetts General Hospital Harvard Medical School 170 Commonwealth... more

G. Gregory Gallico III, MD
Boston Plastic Surgeon

Pain after tummy tuck combined with umbilical hernia repair shouldn't be any worse!

MANY women who undergo tummy tucks need to have an umbilical hernia repair performed at the same time. The reason for this is that pregnancy is generally what brings about the need for a tummy tuck and muscle plication. Pregnancy is also a common cause of an umbilical hernia. The reason is very simple-- there is only so much stretch that your abdominal wall can take before it gives a bit. A tummy tuck usually involves plication of the anterior abdominal wall from... more

B. Aviva Preminger, MD
New York Plastic Surgeon

Hernia repair with tummy tuck will add NO additional pain whatsoever!

Properly performed, most all tummy tucks will include muscle plication (repair of the rectus abdominis muscle sheath that is stretched by pregnancy or obesity) from breast bone to pubis. This includes the umbilical area, so if there is a small hernia here, it can and should be fixed at the same time as your tummy tuck. Since this area is sutured with or without a hernia repair, the pain should be absolutely no different in either case. I inject the muscles beneath the sutured rectus... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

www.mpsmn.com

Umbilical hernia repair with tummy tuck is common

This is a common scenario and should not add to increased pain. If your hernia is large, it may require a general surgeon to repair it at the time of the tummy tuck but again, this should not contribute to your postop pain. Good luck!

Elan B. Singer, MD
Manhattan Plastic Surgeon

Ventral hernia repair won't add noticable pain when performed along with a tummy tuck

It is a prudent choice to undergo the hernia repair at the same time as your tummy tuck as you will consolidate your procedures into one operative session rather than two - and the associated benefits from that. Virtually all if not all the pain that you will experience will be related to the plication (repair) of the muscle and the skin repair issues as opposed to the hernia repair itself.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon

www.turkeltaub.com

Tummy tuck , hernia repair and pain

Generally umbilical hernias are relatively small and are repaired in conjunction with the abdominal wall plication. The plication contributes most to the pain after tummy tuck and the addition of an umbilical hernia repair should not add significantly more pain.

David A. Bottger, MD
Philadelphia Plastic Surgeon

Minimal

Most of the pain is from the tummy tuck and muscle plication. It is bearable, and usually a pain pump or medication by mouth is enough.

William B. Rosenblatt, MD
New York Plastic Surgeon

Hernia repair with tummy tuck

Umbilical hernias may occur after pregnancy and are commonly repaired at the same time as a tummy tuck. It does not add any pain or discomfort to the recovery, and is covered by your insurance.

Beverly Friedlander, MD
Short Hills Plastic Surgeon

UMBILICAL HERNIA REPAIR.

It is not uncommon to repair an umbilical hernia at the same time as an Abdominoplasty. Usually the hernia is small and does not add much time to the procedure. There is no additional pain associated with an umbilical hernia repair if you are having a diastasis or muscle repair at the same time.

Todd B. Koch, MD
Buffalo Plastic Surgeon

Tummy Tuck surgery with Hernia Repair

It is not uncommon to perform an umbilical hernia repair in conjunction with a tummy tuck. The discomfort during recovery is the same time and my postoperative instructions are the same. Larger hernias may require additional operative time and are slightly more involved than a small umbilical hernia repair; however, as many of us are fully trained and board certified general surgeons, hernias do not represent a problem. Some plastic surgeons routinely ask a... more

Luis Zapiach, MD
Paramus Plastic Surgeon

www.artplasticsurgeons.com

Its hard to tell

In general, tummy tuck can be a painful procedure. Umbilical hernia is repaired during the procedure.You can have a pain pump placed during surgery. This will reduce the pain and probably clear your concern.

Moneer Jaibaji, MD
San Diego Plastic Surgeon

Tummy tuck

Small umbilical hernias can be repaired at the sametime as the tummy tuck. Generally the discomfort and pain should be about the same. However, you may feel that your bowel function may be a little slow to return. It is best to get both done at the same time.

Shashidhar Kusuma, MD
Plantation Plastic Surgeon

No additional pain with adding hernia repair to abdominoplasty

It is normally possible to combine these two procedures and the recovery should be about the same. most plastic surgeons would be comfortable doing both; occasionally, a general surgeon might be involved for the hernia portion.

Bruce K. Barach, MD
Schenectady Plastic Surgeon

drbarach.com

Does a hernia repair add pain to a tummy tuck?

Certainly a large hernia repair can be more painful. Most umbilical hernias, however, are small. The bigger concern is that doing both at the same time can cause problems with healing of the belly button. It is critical that you plastic surgeon be present for the hernia repair so that important blood vessles are not divided.

Neal Goldberg, MD
Westchester Plastic Surgeon

Recovery

Recovery from a tummy tuck and a tummy tuck with a hernia repair is the same. You should absolutely have the hernia repair either before you consider the surgery or at the same time.