One stage onlay hernia repair with abdominoplasty in patients following gastric bypass surgery

• Authors: Aleksandra Iljin , Bogusław Antoszewski , Tomasz Zieliński , Aleksander Skulimowski , Dariusz Szymański , Janusz Strzelczyk

Abstracts

EN

Purpose: 1. Evaluation of results after one-time incisional hernia repair (IHR) modo on-lay and abdominoplasty (Ab-pl) in patients after loss of weight following previous Roux-en-Y Gastric Bypass – RYGB. 2. Analysis of differences in quality of life (QL) changes in bariatric patients before RYGB, as well as before and after abdominal contouring operation. Material and Methods: Clinical analysis involved 20 patients with abdominal disfigurement (following RYGB, and massive weight loss) who underwent one-time IHR using on-lay method together with abdominoplasty. We estimated postoperative results, as well as changes in QL, before RYGB and before and after abdominal contouring procedure (based on DAS 24 and SF-36 scales) in comparison with stage before surgeries. Results: Complications - abnormal wound healing (infection, local necrosis) and pneumonia were found in two persons, seroma in two cases, whereas dysesthesia in four patients. We confirmed QL improvement in all aspects after each stage of treatment. Conclusions: 1. One-stage on-lay hernia repair and abdominoplasty is a safe method improving the functioning of patients. 
2. All stages of bariatric treatment resulted in gradual improvement of the quality of life. 3. High BMI in patients before onlay incisional hernia repair with abdominoplasty increases the risk of complications, which is connected with longer hospital stay.

Keywords

EN

bariatric surgery; abdominoplasty; life quality

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2018
• Volume: 90(6)
• Pages: 32-36

Dates

published

2018-10-26

Contributors

author

Aleksandra Iljin

author

Bogusław Antoszewski

author

Tomasz Zieliński

author

Aleksander Skulimowski

author

Dariusz Szymański

author

Janusz Strzelczyk

Identifiers

DOI

10.5604/01.3001.0012.7027