Sarcouncil Journal of Medicine and Surgery

Abstract: Background:Obese patients are frequent with ventral hernias, which often present with severe physical and psychological distress. The current study evaluates the clinical outcomes of combined ventral hernia repair and lipo-abdominoplasty on the basis of safety, efficacy, and patient satisfaction.Aim:To evaluate the clinical outcomes, including surgical morbidity, complication rate, and patient satisfaction, in patients who were obese and underwent combined ventral hernia repair and lipo-abdominoplasty with a 12-month follow-up.Methods:One hundred and twenty patients were enrolled in our cross-sectional study. Outcomes, including surgical parameters, post-operative outcomes, complications, and patient-assessed outcomes, were collected in the present study. Follow-up evaluation employed the SF-36 Health Survey for measuring quality of life and overall satisfaction. Results: Mostly middle-aged, overweight women patients made up the population. Para-umbilical was the most common type of hernia (41.7%), and operative time was 90 minutes on average. Hospital stay was 3-4 days in 18.6% of patients with no mortality. Major complications were rare at 6% of procedures, but minor complications like post-operative pain were present in 16.7%. Recurrences of hernias occurred in 5% of patients. Patient satisfaction indicated 50% very satisfied, and dramatic improvements in all components of the SF-36 questionnaire quality-of-life scores were recorded. Conclusion:Concurrent ventral hernia repair with lipo-abdominoplasty is an effective and safe procedure in morbidly obese patients with low rates of complications and recurrence. The procedure significantly enhances the quality of life and patient satisfaction and is adequately indicated for use in such a population of patients.