As the problem of obesity increases in the general population, there are more and more individuals with exceptionally large hernias and extensive over-hanging skin. The removal of excess skin is essential to decreasing the incidence of recurrent hernias. In such cases, a combined approach with plastic surgery is performed in order to excise these large aprons of skin.
Muscle flaps are also occasionally used in reconstructing the abdominal wall. Carolinas Hernia Center surgeons work closely together as a team to ensure the best possible results.
The patient is first seen by the general surgeons and the plastic surgeons to plan the operation. The surgeons discuss the case and plan of action. Postoperatively, the patient will be seen by members of the general surgery and plastic surgery team.
During the operation, Carolinas Hernia Center surgeons will plan the incisions to be used to repair the hernia and excise the excessive skin. The procedure is then carried out in a staged fashion in one setting.