E-ISSN 2146-8133
 

Original Research (Original Article) 


The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity

Mahmoud Sakr, Mahmoud Habib, Hossam Hamed, Hassan Kholosy.

Abstract
Objective: To assess the outcome of Prolene mesh-abdominoplasty, as compared to abdominoplasty alone, in multiparous women with severe musculo-aponeurotic laxity.
Subjects and Methods: The present retrospective study included 135 multiparous (4 or more children) women who presented with an abdomen that resembled a full-term pregnancy in the erect posture. Their ages ranged between 27 and 59 years with a mean of 41.26±13.15 years. Forty-three (31.9%) patients suffered from low back pain, 52 patients (38.52%) had an associated ventral hernia, and 88 (65.19%) had previous abdominal surgery. Eighty-four patients (62.2%) underwent mesh-abdominoplasty (Group 1) while the remaining 51 (37.8%), who refused mesh application, underwent standard abdominoplasty (Group 2). The follow-up period ranged from18 months to 11 years with an average of 61 months.
Results: Both groups were comparable regarding their demographic and clinical parameters. All repaired hernias did not recur, and abdominal pain was relieved in all patients of both groups. With mesh-abdominoplasty, low-back pain was completely relieved in 71.4% (20/28) of patients as compared to 80% (12/15) with abdominoplasty. No mortality or major complications were encountered. Wound complications occurred in 22 patients (26.19%) in Group 1 versus 7 (13.73%) in Group 2 (X2=2.923, p=0.087). With mesh-abdominoplasty (Group 1), ten patients (11.90%) required a second operation for refashioning of lower abdominal skin laxity, dog-ears or umbilical scar as compared to 16 patients (31.37%) in patients with abdominoplasty only (Group 2) (X2=7.734, p=0.005). Recurrence was significantly higher among patients who underwent abdominoplasty alone (X2=22.768, p<0.00001).
Conclusions: It is suitable to use the Prolene mesh routinely during abdominoplasty for multiparous patients with severe musculo-aponeurotic laxity as, in addition to relief of symptoms and minimal complications, it yielded lower recurrence and less refashioning procedures than abdominoplasty alone.

Key words: Prolene mesh, abdominoplasty, multiparous, mesh-abdominoplasty, recurrence, body contour


 
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How to Cite this Article
Pubmed Style

Sakr M, Habib M, Hamed H, Kholosy H. The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. Arch Clin Exp Surg. 2019; 8(2): 33-42. doi:10.5455/aces.20180925045322


Web Style

Sakr M, Habib M, Hamed H, Kholosy H. The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. http://www.ejmaces.com/?mno=10028 [Access: December 15, 2019]. doi:10.5455/aces.20180925045322


AMA (American Medical Association) Style

Sakr M, Habib M, Hamed H, Kholosy H. The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. Arch Clin Exp Surg. 2019; 8(2): 33-42. doi:10.5455/aces.20180925045322



Vancouver/ICMJE Style

Sakr M, Habib M, Hamed H, Kholosy H. The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. Arch Clin Exp Surg. (2019), [cited December 15, 2019]; 8(2): 33-42. doi:10.5455/aces.20180925045322



Harvard Style

Sakr, M., Habib, . M., Hamed, . H. & Kholosy, . H. (2019) The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. Arch Clin Exp Surg, 8 (2), 33-42. doi:10.5455/aces.20180925045322



Turabian Style

Sakr, Mahmoud, Mahmoud Habib, Hossam Hamed, and Hassan Kholosy. 2019. The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. Archives of Clinical and Experimental Surgery (ACES), 8 (2), 33-42. doi:10.5455/aces.20180925045322



Chicago Style

Sakr, Mahmoud, Mahmoud Habib, Hossam Hamed, and Hassan Kholosy. "The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity." Archives of Clinical and Experimental Surgery (ACES) 8 (2019), 33-42. doi:10.5455/aces.20180925045322



MLA (The Modern Language Association) Style

Sakr, Mahmoud, Mahmoud Habib, Hossam Hamed, and Hassan Kholosy. "The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity." Archives of Clinical and Experimental Surgery (ACES) 8.2 (2019), 33-42. Print. doi:10.5455/aces.20180925045322



APA (American Psychological Association) Style

Sakr, M., Habib, . M., Hamed, . H. & Kholosy, . H. (2019) The outcome of mesh-abdominoplasty in multiparous women with severe musculo-aponeurotic laxity. Archives of Clinical and Experimental Surgery (ACES), 8 (2), 33-42. doi:10.5455/aces.20180925045322





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