Background and objective.

Ventral or incisional hernias are frequent pathologies, often present in obese patients. Association of abdominal dermolipectomy in the same surgery of hernioplasty has functional and aesthetic advantages, but it has been questioned because of the reported complications, both systemic and of the surgical wound. There are only a few comparative studies about this theme, and more frequently, communications only include patients with hernoiplasty associated to dermolipectomy.

Methods.

Narrative revisión was conducted using Pubmed, Google Scholar and ScieLo with the terms “lipectomy” “dermolipectomy” “panniculectomy”, “hernia”, “hernioplasty”, “eventroplasty”, “abdominal wall repair”, both in English and in Spanish, of papers comparing hernioplasty and hernioplasty associated to dermolipectomy, from 2010 to 2020. Items evaluated were: postoperative complications, surgical time, days at hospital, hernia recurrence and patient satisfaction.

Results.

Eight papers were included. Complications were evaluated in all of them, finding that there were significatively higher in hernioplastia associated to dermolipectomy in 6 papers, mainly because the summatory of complications, while surgical place infection was significatively higher in 2 papers. Medical complications, presented in 6 papers, were significatively higher in the group of hernioplasty associated to dermolictomy in 2 of them. Hernia recurreces, presented in 6 papers, were lower or not significative, while patients satisfaction was significatively higher in the only 2 papers presinting this item.

Advantages of both procedures combination are described: abdominal wall exposure, functional and aesthetic results.

Conclusions.

Patients with ventral hernia and overweight and obesity are beneficiated with surgical combination of eventroplasty and dermolipectomy conducted by a multidisciplinary equipe, with lower incidence of hernia recurrence and higher level of patient satistaction. Although global complications are significatively higher in most of them, deep surgical place infections or those needing reoperation are not significatively higher. Corporal mass index (CMI) higher than 40 is consided as a risk factor for predicting complications.

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