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Background <p>Whether ventral or incisional hernias should be repaired during abdominoplasty remains disputed.</p> Methods <p>A PROSPERO-registered PRISMA-2020 systematic review searched PubMed, Scopus, and Cochrane on June 15, 2025. Twenty-four studies (2 randomised trials, 2 propensity-matched registry analyses, 19 cohort series and 1 case report) encompassed 3142 adults, 1456 of whom underwent a single-stage repair, were included. Primary outcomes analysed were surgical-site occurrence (SSO), hernia recurrence, reoperation and patient-reported measures.</p> Results <p>Median SSO after combined repair was 20% (range 0–51 %), an absolute increase of 7–8 % versus abdominoplasty alone; most events were minor seromas or superficial infections. The 30-day readmission rate was ≤ 3%, and the unplanned reoperation rate was approximately 6%, similar to the rate for abdominoplasty alone. Durability was excellent: 21 recurrences (1.4%) occurred at a median 23-month follow-up, and neither randomised trial showed excess failure. Propensity-matched analyses likewise revealed no uptick in severe morbidity. Validated instruments demonstrated substantial gains in physical function (SF-36 + 25), body-image distress (DAS-24-16 to −&#xa0;33) and overall satisfaction (&gt; 90%).</p> Conclusions <p>Contemporary evidence suggests that simultaneous abdominoplasty and ventral/incisional hernia repair delivers durable closure and substantial functional and cosmetic benefits, while adding only a modest, largely minor increase in wound morbidity. For patients with a BMI &lt; 35 kg/m<sup>2</sup> and well-controlled comorbidities, a single-stage approach appears safe, efficient, and patient-centred, when performed with perforator-sparing dissection, judicious mesh use and vigilant postoperative care.</p> Level of Evidence II <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Combined Abdominoplasty and Ventral Hernia Repair: A Systematic Review of Surgical and Patient-Centered Outcomes

  • 期刊论文

  • 发表日期：

    2026年5月19日

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  • Gianluca Marcaccini,
  • Elena Bagalà,
  • Ho Shan Polly Huang,
  • Raj Saini,
  • Luca Grimaldi,
  • Omar Shadid,
  • Roberto Cuomo,
  • Ishith Seth,
  • Namal Munasinghe,
  • Warren M. Rozen

摘要

Background

Whether ventral or incisional hernias should be repaired during abdominoplasty remains disputed.

Methods

A PROSPERO-registered PRISMA-2020 systematic review searched PubMed, Scopus, and Cochrane on June 15, 2025. Twenty-four studies (2 randomised trials, 2 propensity-matched registry analyses, 19 cohort series and 1 case report) encompassed 3142 adults, 1456 of whom underwent a single-stage repair, were included. Primary outcomes analysed were surgical-site occurrence (SSO), hernia recurrence, reoperation and patient-reported measures.

Results

Median SSO after combined repair was 20% (range 0–51 %), an absolute increase of 7–8 % versus abdominoplasty alone; most events were minor seromas or superficial infections. The 30-day readmission rate was ≤ 3%, and the unplanned reoperation rate was approximately 6%, similar to the rate for abdominoplasty alone. Durability was excellent: 21 recurrences (1.4%) occurred at a median 23-month follow-up, and neither randomised trial showed excess failure. Propensity-matched analyses likewise revealed no uptick in severe morbidity. Validated instruments demonstrated substantial gains in physical function (SF-36 + 25), body-image distress (DAS-24-16 to − 33) and overall satisfaction (> 90%).

Conclusions

Contemporary evidence suggests that simultaneous abdominoplasty and ventral/incisional hernia repair delivers durable closure and substantial functional and cosmetic benefits, while adding only a modest, largely minor increase in wound morbidity. For patients with a BMI < 35 kg/m2 and well-controlled comorbidities, a single-stage approach appears safe, efficient, and patient-centred, when performed with perforator-sparing dissection, judicious mesh use and vigilant postoperative care.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.