Aesthetic plastic surgery · 2026
Combined Abdominoplasty and Ventral Hernia Repair: A Systematic Review of Surgical and Patient-Centered Outcomes.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Marcaccini Gianluca, Bagalà Elena, Huang Ho Shan Polly, Saini Raj, Grimaldi Luca, Shadid Omar, Cuomo Roberto, Seth Ishith, Munasinghe Namal, Rozen Warren M
Аннотация
BACKGROUND: Whether ventral or incisional hernias should be repaired during abdominoplasty remains disputed.
METHODS: A PROSPERO-registered PRISMA-2020 systematic review searched PubMed, Scopus, and Cochrane on June 15, 2025. Twenty-four studies (2 randomised trials, 2 propensity-matched registry analyses, 19 cohort series and 1 case report) encompassed 3142 adults, 1456 of whom underwent a single-stage repair, were included. Primary outcomes analysed were surgical-site occurrence (SSO), hernia recurrence, reoperation and patient-reported measures.
RESULTS: Median SSO after combined repair was 20% (range 0-51 %), an absolute increase of 7-8 % versus abdominoplasty alone; most events were minor seromas or superficial infections. The 30-day readmission rate was ≤ 3%, and the unplanned reoperation rate was approximately 6%, similar to the rate for abdominoplasty alone. Durability was excellent: 21 recurrences (1.4%) occurred at a median 23-month follow-up, and neither randomised trial showed excess failure. Propensity-matched analyses likewise revealed no uptick in severe morbidity. Validated instruments demonstrated substantial gains in physical function (SF-36 + 25), body-image distress (DAS-24-16 to - 33) and overall satisfaction (> 90%).
CONCLUSIONS: Contemporary evidence suggests that simultaneous abdominoplasty and ventral/incisional hernia repair delivers durable closure and substantial functional and cosmetic benefits, while adding only a modest, largely minor increase in wound morbidity. For patients with a BMI < 35 kg/m2 and well-controlled comorbidities, a single-stage approach appears safe, efficient, and patient-centred, when performed with perforator-sparing dissection, judicious mesh use and vigilant postoperative care.
LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: A PROSPERO-registered PRISMA-2020 systematic review searched PubMed, Scopus, and Cochrane on June 15, 2025. Twenty-four studies (2 randomised trials, 2 propensity-matched registry analyses, 19 cohort series and 1 case report) encompassed 3142 adults, 1456 of whom underwent a single-stage repair, were included. Primary outcomes analysed were surgical-site occurrence (SSO), hernia recurrence, reoperation and patient-reported measures.
RESULTS: Median SSO after combined repair was 20% (range 0-51 %), an absolute increase of 7-8 % versus abdominoplasty alone; most events were minor seromas or superficial infections. The 30-day readmission rate was ≤ 3%, and the unplanned reoperation rate was approximately 6%, similar to the rate for abdominoplasty alone. Durability was excellent: 21 recurrences (1.4%) occurred at a median 23-month follow-up, and neither randomised trial showed excess failure. Propensity-matched analyses likewise revealed no uptick in severe morbidity. Validated instruments demonstrated substantial gains in physical function (SF-36 + 25), body-image distress (DAS-24-16 to - 33) and overall satisfaction (> 90%).
CONCLUSIONS: Contemporary evidence suggests that simultaneous abdominoplasty and ventral/incisional hernia repair delivers durable closure and substantial functional and cosmetic benefits, while adding only a modest, largely minor increase in wound morbidity. For patients with a BMI < 35 kg/m2 and well-controlled comorbidities, a single-stage approach appears safe, efficient, and patient-centred, when performed with perforator-sparing dissection, judicious mesh use and vigilant postoperative care.
LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .