Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To present an effective and safe technique that can treat by laparoscopy large hernia or eventration during abdominoplasty

Introduction: Abdominal hernia or eventration can be present in patients requesting abdominoplasty, especially those who are postpartum with rectus divarication. Classically the treatment is done in two separated procedures: abdominal hernia treatment by a visceral surgeon then at least six months after: abdominoplasty with umbilical transposition by a plastic surgeon. We present a series of patient that underwent concomitantly hernia repair by laparoscopy and abdominoplasty. Publications have been done about laparoscopic umbilical hernia repair but not about eventration or large non-umbilical hernia repair

Materials / method: A prospective series of 16 consecutive patients, undergoing laparoscopic hernia or eventration repair and abdominoplasty with rectus divarication treatment between 2019 and 2021 were included in the study. All procedures were performed by the same team (a plastic surgeon and a visceral surgeon).

Results: 11 patients underwent hernia repair and 5 underwent an eventration repair by laparoscopy. The surface of the mesh was between 10 X 12 cm and 20 X 25 cm. Abdominoplasty with diastasis repair was done for all patients. Umbilical transposition was done in 14 patient and neo-umbilicoplasty in 2 cases. At 6-month follow up there were no instances of recurrent hernia or eventration, no umbilical or cutaneous flap necrosis. Two case of seroma were treated. Rectus divarication ranged from 45 to 150 mm. Hernia or eventration repair took a mean of 42 minutes to complete (range, 30-75 minutes).

Conclusion: We present a technique that combined laparoscopic hernia repair with mesh and abdominoplasty. This association, which avoid to separated procedures, is particularly suited to postpartum patients with large hernia and wide diastasis.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability