SynthesisAesthetic plastic surgery2026
Combined Abdominoplasty and Ventral Hernia Repair: A Systematic Review of Surgical and Patient-Centered Outcomes.
Synthesis in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhether ventral or incisional hernias should be repaired during abdominoplasty remains disputed.
methodsA 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.
resultsMedian 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%).
conclusionsContemporary 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/m 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 .
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Registered trials
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