Abdominal wall reconstruction
If a hernia requires extensive soft tissue management as well as intra-abdominal surgery this is then termed an Abdominal Wall Reconstruction (AWR). In order to do this safely and to produce world class results, operations at Total Abdomen involve both a general and plastic surgeon who operate together on both the abdominal contents, abdominal muscles and the overlying soft tissues.
Abdominoplasty (tummy tuck)
Abdominoplasty, or tummy tuck, is a cosmetic surgery procedure that involves the removal of excess skin and fat from the middle and lower abdomen, with a hip to hip scar hidden in the ‘bikini line’. A slimmer waistline and improved body contour results, as well as a firmer abdomen. During the procedure, and if appropriate, the abdominal wall muscles may be tightened or repaired.
Aesthetic plastic surgery for the abdominal wall
Total Abdomen surgeons fuse aesthetic plastic surgery with general surgery providing a comprehensive service to our patients; Affording a functional and aesthetic repair for all aspects of abdominal wall pathologies from simple groin hernias to major abdominal wall reconstructions / cosmetic procedures.
Abdominal wall tumours
If an abdominal wall tumour requires surgical treatment a team of multi-discipline Total Abdomen surgeons provide a comprehensive service to our patients. Mr Arjun Shankar and Mr David Floyd lead the team at the Lister Hospital removing such tumours in order to achieve excellent oncological outcomes and expert abdominal wall reconstruction for long term functional recovery.
Recurrent incisional hernias
Repair of recurrent incisional hernias ranges from a laparoscopic approach for small defects through to a formal abdominal wall reconstruction. The key is to get the first repair performed by a hernia specialist because the more times the hernia is repaired the less the chance of long term success. Surgeons at the Total Abdomen unit of the Lister Hospital specialise in this type of abdominal wall reconstruction.
Post pregnancy abdominal wall
After pregnancy, many women find that they suffer with split stomach muscles known as diastasis recti. The combination of this diastasis recti and soft tissue redundancy, often coupled with a midline hernia, requires a surgical solution. Total Abdomen surgeons usually resect the redundant soft tissues, re-approximate the midline muscles and repair any hernia. This may involve a mini tummy tuck or an abdominal wall repair.
Recurrent hernia surgery
A conventional open or non-keyhole approach to repairing recurrent groin hernias involves reopening the old scar and placing a mesh over the defect. This can be done as a day case but may require an overnight stay. The re-do may also apply a different technique, with the mesh placed in a different layer of the abdominal wall but is most often repaired laparoscopically.