الفهرس 
ANATOMY OF THE ANTERIOR ABDOMINAL WALLOnly 14 pages are availabe for public view
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Abstract
Multiple techniques exist for repair of ventral hernias. The basic problem with repair of ventral hernia is an absolutely large recurrence. The objectives of abdominal hernial repair are to reconstruct the structural integrity of the abdominal wall while minimizing morbidity. A new technique combines abdominoplasty with hernial repair from which obese patients with recurrent large abdominal hernias and skin laxity could benefit. The technique was modified to include abdominal wall plication above and below the repaired hernia defect and the use of non-absorbable mesh on lay.
Our study establishes the superiority of abdominoplastic repair over primary repair for ventral hernias with regard to the recurrence of hernia and patient satisfaction, especially for those recurrent, giant or multiple defects ventral hernias with lax redundant abdominal wall.
That added another point to our study is the assessment of this abdominoplasty technique for primary ventral hernia as incisional hernias in comparison with other studies which focused on incisional hernia during evaluation of this technique.
IN CONCLUSION, IN PATIENTS WITH VENTRAL HERNIAS, IF WE PROPERLY CHOOSE THE CASE SUITABLE FOR ABDOMINOPLASTIC REPAIR, IT IS PREFERABLE TO OTHER TYPES OF REPAIR. IT PROVIDES THE BEST EXPOSURE OBTAINABLE. OTHER HERNIAS, WHICH MAY HAVE NOT BEEN DETECTED, CAN BE FOUND. IT ALLOWS ACCESS AND REINFORCEMENT TO ALL COMPONENTS OF THE ABDOMINAL WALL. FINALLY; IT MAY HELP TO REDUCE THE INCIDENCE OF RECURRENCE AND ALSO OBTAINS THE PATIENT SATISFACTION.
UPON OUR RESULTS WE CONSIDER ABDOMINOPLASTIC REPAIR MORE SATISFACTORY TO THE PATIENT AND COSMETICALLY BETTER AS REPAIR FOR VENTRAL HERNIA APART from SOME COMPLICATIONS THAT WE ENCOUNTERED IN OUR STUDY WHETHER EARLY AS HEMATOMA, SEROMA AND SSI OR LATE AS SENSORY AFFECTION, AND FLAP NECROSIS.IN ALL CASES WOUNDS EVENTUALLY HEALED WITHOUT SUBSEQUENT LONG TERM SEQUELAE.
THE TECHNIQUE IS SAFE WITH LOW RISK OF COMPLICATIONS AND LOW RISK OF RECURRENCE ESPECIALLY WHEN COMPARED WITH CONVENTIONAL METHODS OF REPAIR FOR VENTRAL HERNIAS.
However still the technique of abdominoplasty for ventral hernias in need for further evaluation considering increasing the number of studied patients and the widening the spectrum of the cases (gender and BMI) and extending the duration of follow up.