Concurrent abdominal body contouring and hernia repair are safe choices: An analysis of the 2015–2020 ACS-NSQIP database

• Published in: Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2023-06, Vol.81, p.53-59
• Main Authors: Akiska, Yagiz Matthew, Schwartz, Rachel, Ozavci, Izem Ekin, Ranganath, Bharat
• Format: Article
• Language: English
• Subjects: Abdominal body contouring; Abdominoplasty; Abdominoplasty - adverse effects; Abdominoplasty - methods; ACS-NSQIP; Body Contouring - adverse effects; Concurrent; Hernia repair; Hernia, Ventral - surgery; Herniorrhaphy - adverse effects; Herniorrhaphy - methods; Humans; Panniculectomy; Postoperative Complications - etiology; Retrospective Studies
• ISSN: 1748-6815; 1878-0539
• DOI: 10.1016/j.bjps.2023.01.009

Concurrent hernia repair (HR) with abdominal body contouring procedures (ABD), panniculectomy, and abdominoplasty, has been discussed as a strategy. The purpose of this study is to evaluate potential medical and surgical complications following concurrent ABD-HR, with a greater emphasis on cosmetic abdominoplasty. The 2015–2020 ACS-NSQIP datasets were utilized to identify patients who underwent ABD or ABD-HR. Propensity score (PS) matching was used to reduce selection bias by equating groups (ABD vs. ABD-HR) based on covariates. Bivariate analyses of independent variables by our outcomes of interest were performed using the Pearson Chi-Square and Fisher’s Exact tests for categorical variables and the Wilcoxon rank-sum test for continuous variables. Of the 14,115 patients identified in the ACS-NSQIP, 13,634 had ABD, while 481 had both ABD and HR. Following PS-matching of the cohorts, ABD (n = 481) and ABD-HR (n = 481), bivariate analysis of the combination of incisional, umbilical, and epigastric hernias indicated longer operative times (mean: 209.6 min) (P