Abdominoplasty and umbilical hernia
Abdominoplasty and umbilical hernia
Umbilical hernia is presented in the shape of protuberances on the navel, and it occurs as a closing defect on the navel orifice. This hernia can be barely visible or only visible when the person is doing certain physical movements. An umbilical hernia can occur as a result of an increase in the abdominal pressure in one of these cases: pregnancy and obesity. It can also occur for people who lift weights, suffer from a chronic cough, or constipation.
The tummy tuck is often recommended for mothers who had one or multiple pregnancies or for people who have lost a considerable amount of weight after being obese or severely overweight. This is the reason why it is frequent for patients needing a tummy tuck to also suffer from umbilical hernia.
A simple umbilical hernia doesn’t present many symptoms. In many cases, it is just a slight discomfort or pain that occurs during intense physical efforts. With the increase in volume, the skin that covers the hernia can become affected, inflamed, and infections can occur.
It is important to know that this condition doesn’t disappear on its own. Once it occurs, it can increase in size gradually and become painful and bothersome for the patient. In the first stages it can be retractile (can disappear inside the abdomen), but with time this won’t happen anymore.
During the pre-operative consultation for the tummy tuck, the plastic surgeon will perform a medical examination on the patient, and this is when most umbilical hernias are detected. The plastic surgeon will evaluate the characteristics of an umbilical hernia – the dimensions, pain, reducibility, expansion at effort, or coughing. An umbilical hernia can be corrected during the tummy tuck which will be the recommended surgical plan if the patient is also confronted with loose abdominal muscles and skin laxity on the inferior part of the tummy. Correcting umbilical hernia is an intrinsic part of the tummy tuck when a hernia is present. This is why it is essential to choose an experienced, board-certified plastic surgeon to play out your procedure to get the best results possible.
Moreover, the recommendation is to go see the surgeon as soon as you notice or suspect the presence of an umbilical hernia. The smaller the umbilical hernia, the easier the procedure will be and with a lower risk of developing intra- or post-operative complications.
The tummy tuck is commonly performed with the patient under general anesthesia, but spinal anesthesia with sedation is also possible for patients who have a recommendation for this. The surgical plan to be adopted will be recommended by the plastic surgeon and discussed during the initial consultation. Make sure to tell the plastic surgeon about all your concerns during this meeting so both of you can properly prepare for the tummy tuck.
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