After 3 small instestine surgeries and two full term preganacies I would like a tummy tuck done. I have not found any information pertaining to my unique situation. I have had two consulations so far. One dr said he could perform the TT with hernia repair, prior surgery/ scar tissue is not a problem. 2nd dr declined due to the prevoius surgeries. I am questioning now if I can safely and sucessfully have a TT done? Is there a particular PS I should be looking for besides being board certified?
Tummy Tuck After Multiple Lower Abdominal Surgeries?
Doctor Answers 6
Tummy tuck with mesh reinforcement
Ventral hernia can be repaired using a tummy tuck approach. There have been several recent papers on this technique using mesh to reinforce the abdominoplasty repair. From my own personal experience, I have done a patient who had 5 c-sections and 4 previous hernia repairs who underwent combined abdominoplasty and hernia repair without complications. You should look for a plastic surgeon who can do it all himself or in combination with a general surgeon.
Best of Luck,
Gary Horndeski, M.D.
Abdominoplasty with Hernia
Thank you for your question.
While having a hernia and history of multiple previous abdominal surgeries makes your case a little more complex, it doesn't mean it can't be performed safely. It means you need to find a qualified board certified plastic surgeon who is comfortable with your case and has exeperience with these types of complex cases.
A double-board certified plastic surgeon in both General Surgey and Plastic Surgery may feel more comfortable in this situation.
While I am double-board certified in both General Surgery and Plastic Surgery, I occaisionally will have a General Surgeon colleague available for some of the more complex cases where extensive adhesions may exist. After all, they routinely are dealing with intrabdominal adhesions on a daily basis.
Often times, insurance will cover the hernia portion of the procedure and help offset some of your overall expense.
Dr. Brian Joseph
Tummy Tuck After Previous Abdominal Surgeries
Plastic Surgeons who have been well trained and are experienced understand the difficulties associated with operating on previously operated on tissue. This just means we typically have to go slower and be sure of the tissue we encounter. In your case the midline scar that you likely have can be beneficial depending on how far up the abdomen it goes. It may be able to be used to improve the tummy tuck result. In any case most experienced Plastic Surgeons should be able to handle your case without too much difficulty.
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You would be best served by a "double Board Certified" plastic surgeon who has done both the full training in general surgery as well as the full training in plastic surgery. These individuals have "done it all" as far as inside the abdomen surgery and can well assess what your situation requires and can handle it all by themselves.