Abstract

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.

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