SciELO - Scientific Electronic Library Online

vol.42 issue2Surgical anatomy of gluteus maximus muscle: FROD'S Intramuscular SpacePyogenic flexor tenosynovitis: experience in Central University Hospital of Asturias author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Cirugía Plástica Ibero-Latinoamericana

On-line version ISSN 1989-2055Print version ISSN 0376-7892


SORIA, José H. et al. Our practice in the association of abdominal wall hernia and aesthetic abdominoplasty. Cir. plást. iberolatinoam. [online]. 2016, vol.42, n.2, pp.157-166. ISSN 1989-2055.

Background and Objectives. Liposuction is an essential procedure in aesthetic abdominoplasty, but when exists a no previously diagnosis, abdominal wall hernia may be the origin of a serious complication, like a bowel perforation. Ultrasonography is the first option in preoperative diagnosis, moreover computed tomography (CT) is a supplementary assistance in obese patients. We describe hernioplasty without alloplastic material and umbilicus reconstruction when is necessary, during a cosmetic abdominoplasty. Patients and Methods. Between January 2005 and December 2012, 104 patients underwent abdominoplasty; ultrasound and/or CT of the abdominal wall were requested as part of the preoperative studies. Results. According to Matarasso's classification, 30% of the patients were Type III and 70% Type IV, and 27% had abdominal wall hernia: 26% direct umbilical hernia, 33% indirect umbilical hernia, 37% epigastric hernia and 4% infraumbilical hernia. Of the requested, 25% positive ultrasounds were obtained; 3% false negative and 72% true negative. Of the axial CT, 25% were positive and 75% negative. Conclusions. Ultrasonography of the abdominal wall is useful but insufficient in preoperative diagnosis of abdominal wall hernia in the context of and aesthetic abdominoplasty, due to the occurrence of false negatives. CT scan is the right complement for cases of difficult diagnosis.

Keywords : Abdominoplasty; Abdominal wall hernia; Umbilicoplasty.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License