Can Tummy Tuck and Hernia Repair Be Done at the Same Time by One Doctor?
- Asked by milan123 in philadelphia pa
- 4 years ago
Hello I am 22 years old and recently had a baby. I am left with stretch marks and loose skin. My abdominal walls are separated and my bellybutton now sticks out. I was told I could have an umbilical hernia.
Yes, your plastic surgeon can advise you
Milan123: You describe a fairly common situation following pregnancies. The abdominal wall consists of both layers of muscle and fibrous support layers. After pregnancies, you may be able to achieve some return of tone by exercise, but stretched midline fibrous support is difficult to recover. If this is bad enough, surgeons call this diastasis, or separation of the muscles. All people have the potential for a weakness at the base of the umbilicus (belly button), but pregnancy puts extra stretch on this area and can develop obvious weakness or an actual hernia. When abdominoplasty (tummy tuck) is done, it is common for the surgeon to suture tighten the fibrous support and muscles in the midline. This may eliminate the weakness at the base of the umbilicus. If a hernia is present, your plastic surgeon may decide it is reasonable to repair it. Most plastic surgeons have complete training in general surgery and are well qualified to do such repairs. If your surgeon feels a general surgeon should do the repair, he or she should explain this to you during your consultaiton. Combining umbilical herina repair and standard tummy tuck may increae the risk of poor healing of the umbilicus itself. The other risks should be minimally different than abdominoplasty alone. One final comment; you are young enough that additional pregnancies and children should be considered. I would advise delaying or modifying abdominoplasty if there is any possibility you would have future children.
Tummy tuck and hernias
Hernia surgery and tummy tucks can be done at the same time sometimes by the same surgeon.
Always keep your safety in mind in hernia repair
Thanks so much for your questions. An umbilical hernia repair and a tummy tuck can be performed at the same time… this is commonly done for simple hernia repairs. Most plastic surgeons have their background training in general surgery and are very competent in evaluating an umbilical hernia. I think it is reasonable to say, who repairs the hernia will depend upon the comfort level of the plastic surgeon and his/her level of proficiency.
If the umbilical hernia is small, many plastic surgeons would repair these themselves at the same time of the tummy tuck. If the umbilical hernia is moderate to large or complicated (not reducible), most plastic surgeons would pass this on to their general surgery collogues.
Additionally, the severity of the hernia would dictate whether a single or multiple-staged procedure is performed. Keep in mind that it is not so important who performs the hernia repair but rather you having a safe experience with a happy outcome. To minimize potential risks and complications, I would strongly advise that you see a board certified/eligible plastic surgeon who is experienced in body contouring and tummy tucks. I hope you find this advice helpful!
Abdominoplasty and Umbilical Herniorrhaphy
A protruding belly button is not always a hernia. It can be the result of a rectus muscle diastasis. In this instance the protruding belly button is easily repaired by one surgeon: the plastic surgeon.
However, assuming that it is a true umpbilical hernia and you are planning to have a full tummy tuck (not a mini), there is one primary concern:
- A full tummy tuck generally leaves the umbilicus on a little attachment or stalk.
- Performing an true umbiolical hernia repair requires surgical elevation and exposure of the base of the umbilicus which if done in conjunction with a tummy tuck will detach and compromise the blood supply.
In these instances, I work with a general surgeon who has experience performing laparoscopic ("inside out") repair of the umpbilicus through little incisions made after I elevate the skin so that these incisions are made in the muscle and not visible on the upper abdomen where they are typically placed. In this instance I do not performe the umbilical repair.
In terms of major complication rates, there may be an elevated risk of DVT with PE which ranges in the literature from 1 out of 3.500 to 40,000.
Tummy Tuck and Hernia Repair Done at the Same Time
In my practice, I routinely perform a tummy tuck and a hernia repair at the same time. Of course the necessity of performing both procedures is determined during the initial in person consultation. It is important to seek the advice of a board certified plastic surgeon who has experience in performing both procedures.
Web reference: http://www.lorenc.com/abdominoplasty-tummy-tuck/
Tummy tuck with umbilical hernia repair
The two can be combined. If they are not done by the same surgeon, it is important that the plastic surgeon be involved or at least watch the hernia repair in order to maintain a healthy umbilicus.
Tummy tucks and hernia repair can be done simultaneously
Tummy tucks are a very popular and effective way to contour the abdomen. This surgery is routinely performed in conjunction with other surgeries such as a hernia repair or gynecologic procedures. If the size of the hernia is small or if the hernia does not require mesh repair, your plastic surgeon may choose to repair the hernia himself. Your best bet is to work at a board-certified plastic surgeon who has a great deal of experience in abdominoplasty, body contouring, and correction of defects such as hernias.
To learn more about tummy tucks, see photos, and help you decide which one is best for you, please visit us at the link below:
Web reference: http://www.miamiaesthetic.com/abdominoplasty_photos.htm
Umbilical hernia repair can be performed with Abdominoplasty
An umbilical hernia can be repaired along with an abdominoplasty. Many times patients may feel that they have an umbilical hernia, but they actually have a separation of the rectus/abdominal muscles following pregnancy. These muscles will be 'repaired' with the abdominoplasty. Some patients, however, will actually have a true fascial defect or hole with protruding intraabdominal fat or bowel. These can usually be repaired by your plastic surgeon at the same time as the abdominoplasty.
Web reference: http://www.doctorgrover.com
In most cases, yes
In most cases, it is possible, safe, and easy to repair umbilical hernias at the time of tummy tuck surgery, and I have done it many times.
I would talk to your chosen Board Certified Plastic Surgeon and discuss it with them.
Combined procedure with general surgeon and plastic surgeon
I am very comfortable doing muscle repair and tummy tuck together. However, when a hernia repair is involved, I bring in an expert who does hernia repair every day. All plastic surgeons have done hernia repairs during their training, but general surgeons do them every day and I believe they will do a better job.
Complications are very rare, in my experience. The most common is a fluid collection called a seroma, which will not happen if drains are used after the surgery. A young person like you should be fine, but smokers and people with bad circulation can have loose skin after a tummy tuck. If you smoke, you should stop 5-8 weeks before surgery.
Generally, combining more than one surgery does increase the risk of complications. However, combining tummy tuck and hernia repair is a common and safe operation when done by skilled board certified surgeons.
Complication rate should be below 5%.
See befrore and after photos of tummy tuck: Set 1 and Set 2
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.