Is it possible to have a spigelian hernia repaired at the same time as my tummy tuck?

Question

Also, is mesh required to repair the spigelian hernia, or can it be repaired without it?

Stephen M. Krant, MD, FACS · Answer

Yes, it can be done with the tummy tuck/abdominoplasty. The abdominoplasty will also consist of tightening the diastasis recti, the laxity of the anterior rectus muscle.
The spigelian hernia is lateral and can be repaired directly externally or with a scope and placement of mesh. Ask your plastic surgeon involved for overall care.
Good luck!

Ronald J. Edelson, MD · Answer

Wow haven’t heard that term in years.  How was this diagnosed? Have you seen a general surgeon?  What has your plastic surgeon said?  These are all questions to bring up with your doctor.  It may be a simple matter your plastic surgeon can deal with of you may need a general surgeon working with the plastic surgeon.  I would think it could be dealt with at the same time but your plastic surgeon is the best one to  ask. Good luck!

Gerald Minniti, MD, FACS · Answer

Hello,Midline hernias around the belly button are most commonly repaired with rectus plication. If your hernia is truly in the semilunar line, it is an easy and appropriate hernia to fix. Mesh would not be required. Best of luck!

Daniel Barrett, MD · Answer

Dear mariamrose,hernia is something that can be fixed during a full tummy tuck procedure. I routinely repair these during my tummy tuck procedures. Not everyone feels comfortably repairing these however. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ralph M. Rosato, MD · Answer

The hernia can be repaired at the same time. The decision to use mesh or not depends on the anatomy of the hernia. Sometimes the plastic surgeon repair it (simple hernias) and other time a general surgeon will repair the hernia. The hernia surgery should be covered by your health insurance the abdominoplasty will not be covered,.

Adolfo Sesto, MD · Answer

Hi. If you are talking about a Spiegel Hernia, the answer is yes, you may need or not a mesh depending on the its size. You are to decide if going to a general surgeon for the correction only, or to a PS to add a TT.International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery (ISAPS)
Dominican Board Certified Plastic and Reconstructive Surgeon

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and though an examination is needed, your hernia can be repaired at the time of an abdominoplasty.  So go on some complimentary consultations with experts and compare recommendations and become fully informed what procedure might give you the best result Dr Corbin

Is it possible to have a spigelian hernia repaired at the same time as my tummy tuck?

Answers (7)

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