had hernia surgery was told it was adhesions.Since surgery it has grown much larger. It is painful and I am having diarrhea often. My stomach area is extended. Had a CT and everything came back normal. Would a tummy tuck help these problems?
April 27, 2014
Answer: Kidney transplant scar / bulge I performed a tummy tuck on a patient with a similar history. She had given a kidney and had an old scar over her flank and a large bulge under the scar. I tightened the fascia over the bulge. The bulge was improved but not totally fixed. The issue is the muscles were cut during the kidney surgery and lost the normal tone. It can be improved, but not 100% fixed. The other consideration is the location of the kidney scar. If it's high on your side (flank) and cannot be included in the skin resection, the skin below it is at risk to die and leave an wound that takes time to heal.
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April 27, 2014
Answer: Kidney transplant scar / bulge I performed a tummy tuck on a patient with a similar history. She had given a kidney and had an old scar over her flank and a large bulge under the scar. I tightened the fascia over the bulge. The bulge was improved but not totally fixed. The issue is the muscles were cut during the kidney surgery and lost the normal tone. It can be improved, but not 100% fixed. The other consideration is the location of the kidney scar. If it's high on your side (flank) and cannot be included in the skin resection, the skin below it is at risk to die and leave an wound that takes time to heal.
Helpful 1 person found this helpful
April 27, 2014
Answer: Bulge after kidney transplant, spinal surgery Bulge after kidney transplant, also seen relatively commonly after spinal surgery, is often an area of the abdominal wall that is not innervated, from the prior surgery. That area bulges out, rather than flexes, whenever you use your abdominal muscles, and therefore over time stretches. This can be unsightly and painful, and CT scan is usually normal as it not a true hernia (hole in the abdominal wall). A mesh needs to be placed that bridges the remaining healthy areas, usually from further back from the incision (under the external oblique), all the way to the other side of the abdomen (I attach within the contra lateral rectus sheath). Make sure your surgeon is very familiar with the problem- many patients tell me other doctors told them "nothing was wrong" even though the problem is usually pretty obvious!
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April 27, 2014
Answer: Bulge after kidney transplant, spinal surgery Bulge after kidney transplant, also seen relatively commonly after spinal surgery, is often an area of the abdominal wall that is not innervated, from the prior surgery. That area bulges out, rather than flexes, whenever you use your abdominal muscles, and therefore over time stretches. This can be unsightly and painful, and CT scan is usually normal as it not a true hernia (hole in the abdominal wall). A mesh needs to be placed that bridges the remaining healthy areas, usually from further back from the incision (under the external oblique), all the way to the other side of the abdomen (I attach within the contra lateral rectus sheath). Make sure your surgeon is very familiar with the problem- many patients tell me other doctors told them "nothing was wrong" even though the problem is usually pretty obvious!
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