BACKGROUND: Standard abdominoplasty rectus plication techniques may not suffice for severe cases of @entity2896 . In the authors' experience, prosthetic mesh facilitates the repair of severe @entity4037 . METHODS: A retrospective review of all abdominal wall surgery @entity1 treated in the past 8 years by the senior author (G.A.D.) was performed. @entity1 with abdominoplasty and either @entity2896 repair with mesh or a combined @entity4037 repair were analyzed. RESULTS: Thirty-two @entity1 , 29 @entity1 and three @entity1 , underwent mesh-reinforced midline repair with horizontal or vertical abdominoplasty. @entity1 characteristics included the following: mean age, 53 years; mean body mass index, 26 kg/m; average width of @entity6877 or @entity547 , 6.7 cm; and average surgery time, 151 minutes. There were no surgical-site infections and two surgical-site occurrences-two seromas treated with drainage in the office. After an average of 471 days' follow-up, none of the @entity1 had recurrence of a bulge or a @entity547 . CONCLUSIONS: For @entity1 with significant @entity2896 , with or without concomitant @entity547 , the described mesh repair is both safe and durable. Although this operation requires additional dissection and placement of prosthetic mesh in the retrorectus plane, it may be safely combined with standard horizontal or vertical abdominoplasty skin excision techniques to provide an aesthetically pleasing overall result. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

Simultaneous prosthetic mesh abdominal wall reconstruction with abdominoplasty for XXXX and severe @entity2896 repairs.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients', 'Patient', 'men'] @entity2896 :: ('MESH:D020434', 'Disease') :: ['rectus diastasis'] @entity6877 :: ('MESH:D046548', 'Disease') :: ['diastasis'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia', 'hernias'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia', 'rectus diastasis with or without concomitant ventral hernias']
@entity4037 :: (MESH:D006555,Disease) :: ['ventral hernia']
