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Tummy tuck and hernia repair

hysterectomy and tummy tuck

tummy tuckYour typical tummy tuck, or abdominoplasty includes liposuction, removing excess abdominal skin and tightening the abdominal wall. A loose  abdominal wall is a rectus diastasis. This is repaired with stitches. In some cases, the abdominal wall is more than just loose, there’s an opening, or hernia that also needs repair. Tightening of a loose abdominal wall is pretty standard. But a hernia? That’s a whole other ball of wax!


What to do with a hernia during your tummy tuck

Most women requesting a tummy tuck after having a baby have a loose abdominal wall in addition to loose skin. During the tummy tuck, your plastic surgeon will tighten the loose abdominal wall (a rectus diastasis) with really strong stitches. This will help flatten the abdomen. But in the patient above and below, she also has an opening in her abdominal wall which is a hernia. A hernia results in a bulge in the abdomen because the intestines come through that opening.


Just to be clear, there’s an opening in the abdominal wall, not the skin. So for this patient, while doing the tummy tuck, her intestines are stuffed back through the opening. Stitches and mesh fix the hernia after returning the intestines to their proper location. Once that’s done, the abdominoplasty, or tummy tuck portion of the operation, is completed.


tummy tuck


Why all the fuss about a hernia?

The biggest risk with a tummy tuck and hernia operation is when the hernia is around the belly button. In the process of tightening the abdominal wall to correct the hernia around the belly button, the blood supply to the belly button can be compromised. So anytime you undergo a tummy tuck with repair of an umbilical hernia (a hernia around the belly button), death to the belly button is a very possible risk. If the belly button dies, your surgeon will remove it and the resulting scar will hopefully look like a small belly button!


I understand that a dead belly button is shocking or maybe even seem like malpractice, but it is a known complication of a tummy tuck with hernia repair. If you don’t have a hernia, then the risk of a dead belly button is almost non-existent. Still want a tummy tuck?! Check pricing from a doctor near you by clicking here!




2 Responses

  1. I have a large ventral hernia due to an open incision after a vertical cesarean six months ago. My baby is six months old. They told me I had to have the vertical c due to my weight of 350 lbs. all of my intestines are now outside just under the skin an the skin is beginning to stretch and tear. I have a large belly and paneus and feel that the pull of that will only break the incision loose again. I had lost 120 lbs prior to being put on bed rest during pregnancy but gained 80 back. I’m in Kentucky and on Medicaid but need help soon. I can’t live like this for a year or more while trying to lose weight without exercise. I can’t take care of my baby without help and can’t stand or walk for more than 10-20 minutes at a time. I’m having difficulty with bowl movements and severe pain with coughing, sneezing, bumping, or rolling over. Binders don’t support enough

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