Relevant answers to your frequent questions...

Abdominal surgery: Frequently Asked Questions

Does abdominal surgery leave a very visible scar?

Dermolipectomy leaves a horizontal scar, located immediately above the pubic hair line, and extending laterally, more or less, depending on the volume of abdomen subject to correction. The scar is expected to remain well hidden by the usual swimming suits. In case of major weight loss, another vertical surgical incision may be necessary, in the middle of the abdomen, in order to remove the excess of transversal skin above the navel.

What is a hernia and what is the probability of an abdominal hernia after surgery?

A hernia is a weakness in the muscle wall through which an organ (usually small bowel) can advance. Approximately 20% of patients develop a hernia after an open gastric bypass procedure – much less with laparoscopic. Most of these patients require a repair of the herniated tissue. The use of a reinforcing mesh to support the repair is common.
A hernia is a weakness in the muscle wall through which an organ (usually small bowel) can advance. Approximately 20 percent of patients develop a hernia. Most of these patients require a repair of the herniated tissue. The use of a reinforcing mesh to support the repair is common.
A hernia is a weakness in the muscle wall (actually the fascia or gristle layer of the abdominal wall) through which an organ (usually small bowel) can advance. Approximately 20% of patients develop a hernia after an open bariatric operation. The incidence of hernia formation after Laparoscopic Bariatric Surgery is less than 1%. Most patients who develop a hernia require a repair. The use of a reinforcing mesh to support the repair maybe needed.
A hernia is a weakness in the muscle wall through which bowel can pass and possibly get caught. With the laparoscopic approach, it is relatively rare. But, it does happen. It is usually relatively easy to diagnose and fix.
A hernia is a weakness in the muscle wall through which an organ (usually small bowel) can advance. Approximately 20% of patients develop a hernia. Most of these patients require a repair of the herniated tissue. The use of a reinforcing mesh to support the repair is common.

Are there any medications I should not take before abdominal surgery?

In preparation for your abdominoplasty, Dr. Linderman will have you refrain from taking aspirin and all aspirin related products for two weeks before and two weeks after surgery. This will help decrease the risk of bleeding which can be caused by these products. Also, intake of Vitamin E should be limited to only what is found in a multi-vitamin, no large volume doses two weeks before or two weeks after abdominal surgery because this can also cause a bleeding tendency.

Will this surgery tighten my abdominal muscles?

Yes, as part of the operation the rectus abdominus muscles are sutured together in the midline. This is especially helpful for women who have had multiple pregnancies, because their muscles have separated in the midline. F - Eyelid Surgery

Are adhesions common following abdominal and pelvic surgery?

Adhesions are very common following open abdominal and pelvic surgery. 1,2 The type of surgery and other factors such as the length of surgery, associated illness, and other treatments, may influence the body’s reaction to tissue injury. Gynecologic surgeries that could lead to adhesions include, but are not limited to, myomectomy , hysterectomy , treatment for endometriosis , adhesiolysis , cesarean section , and operations on the fallopian tubes and ovaries . ...

DOES ABDOMINAL SURGERY CORRECT EXCESSIVE FAT LOCATED IN THE TUMMY REGION?

Not always. This will depend on your type of trunk (thorax + abdomen). If it is of the short type, it will be hardly corrected. If it is of the long type, the result will be more favorable. It is also important to note the thickness of the fatty tissue that involves this area of the body.

ARE ABDOMINAL SURGERY SCARS VERY VISIBLE?

Scars arising out of abdominal plastic surgeries are located horizontally, immediately above pubic hair, prolonging laterally over a longer or narrower extension, depending on the abdominal volume to be corrected. This scar is planned to be hidden under bathing suits (in same cases even thongs may be worn), and will inevitably be subject to different evolution periods, such as the following: IMMEDIATE PERIOD: Up to the 30th day and presents excellent and barely visible aspect. ...

HOW MANY KILOS WILL I LOSE WITH ABDOMINAL PLASTIC SURGERY?

Since this is a surgery in which a certain amount of skin and fat is removed, obviously there will be a reduction in body weight, which may vary according to the abdomen volume of each patient. However, the removed “kilos” will not determine the aesthetic result, but the proportion maintained by the abdomen in relation to the rest of the trunk and arms and legs. Paradoxically, bellies that present better aesthetic results are exactly those in which the least is removed. ...

Can my surgery be done laparoscopically if I have had a previous open abdominal surgery?

Your surgeon will evaluate you on an individual basis. It is possible to have a laparoscopic gastric bypass after having open abdominal surgery or other laparoscopic abdominal procedures. Our surgeons believe that every patient has the right to be given the opportunity to choose minimally invasive surgery as an option.
Source: www.enh.org
Your surgeon will evaluate you on an individual basis. It is possible to have a laparoscopic gastric bypass after having open abdominal surgery or other laparoscopic abdominal procedures.

Can abdominal surgery remove my stretch marks?

Usually, any stretch marks in the lower abdomen will be removed by abdominal reduction surgery. Your surgeon will be able to tell you whether any of your marks will remain after the operation.

When can I go back to the gym after my abdominal surgery?

If the muscles are being repaired it is important not to stress them too soon by doing exercises such as sit-ups and heavy weight lifting. However, gentle aerobic exercise can usually be commenced at about 3 to 4 weeks after surgery. Liposuction

Are herbal remedies safe to continue taking before abdominal surgery?

Often overlooked are the negative effects herbal remedies may have upon anesthesia, drug interaction, bleeding tendency, or the body’s ability to heal after abdominoplasty. Simply because a product carries a label saying it is “natural” does not mean it is necessarily safe when interacting with other drugs. Tummy Tuck or Liposuction? Example of herbal remedies to be avoided prior to surgery are Ephedra, Ginseng, St. John’s Wort, Kava, Melatonin, Valerian, Ginko, Echinacea, Garlic, Bilberry, Cayenne, and Ginger. ...

Will MAM help with digestion problems following abdominal surgery?

Scar tissue and facial adhesions can often cause problems with digestion after abdominal surgery. Maya Abdominal Massage helps to break down the scar tissue and adhesion from past or present surgeries. A few sessions combined with castor oil packs, diet and self care are often used depending on the restriction for optimal success. MAM is contraindicated immediately following abdominal surgery, allow 4-6 weeks or at the consent of your physician.

Can scars in the abdominal region, such as those from Cesarean sections or appendicitis, be corrected during surgery?

Old scars can often be removed as part of a standard abdominoplasty, without additional complication.

Can previous abdominal surgery, such as caesarean or gall bladder operation, interfere with an Abdominoplasty?

A caesarean or gall bladder scar may limit the amount of skin the surgeon can remove and may increase the risk. This is because the circulation of the remaining skin must be maintained otherwise some of the lower skin may 'necrose' or die. This necrosis of skin adjacent to the surgical scar is one of the recognised possible complications of this operation. Some pre-existing indented, tethered or uncomfortable scars can often be removed with abdominoplasty. Back to top of page

Can my surgery still be performed laparoscopically if I've already had abdominal surgery?

Abdominal surgery can result in scarring inside the abdomin. These scars can cause the tissues to stick together making it difficult to get a good view of the anatomy. In most cases previous abdominal surgery is not a problem when performing the gastric bypass laparoscopically. Any previous abdominal surgery, especially upper abdominal surgery increases the chance of needing to be converted to an open procedure.

Can I still have laparoscopic weight loss surgery if I have had previous abdominal surgery?

Your personal surgical history and the technique to be used will be discussed with you at the time of your surgical consultation.
Your personal surgical history and the technique to be used are discussed at your surgical consultation.

I had previous abdominal surgery. Can my surgery still be performed laparoscopically?

After any abdominal surgery you will develop some adhesions or "scars" inside your abdomen. In most cases previous abdominal surgery is not a problem when performing the gastric bypass laparoscopically. Any previous abdominal surgery, especially upper abdominal surgery increases the chance of needing to be converted to an open procedure. If your surgeon is well-trained in laparoscopic techniques, you definitely remain a candidate for laparoscopic weight loss surgery. ...

I've had previous abdominal surgery - can I still have the laparoscopic approach?

It depends upon the type of surgery and the expertise of your surgeon. Unless the first surgery was on your stomach or esophagus then there is a good chance a laparoscopic approach can be used for GERD surgery. In selected cases of patients with prior stomach surgery, even a previous fundoplication for heartburn that no longer works, Dr. Bell has performed a laparoscopic fundoplication with good results.

I HAVE HEARD THAT THE POST-SURGICAL PERIOD OF AN ABDOMINAL SURGERY IS VERY PAINFUL. IS THAT TRUE?

An abdominal surgery of normal evolution should not be painful. The fact is that normally some patients undergo abdominal surgeries combined with gynecological surgeries and, accordingly, they report post-surgery pain. Not all surgeons recommend such combined surgeries, since they imply certain surgical risks, in addition to being inconvenient because of the pain and less favorable results.

I have had abdominal surgery in the past. Does this mean I can’t have the operation laparoscopically?

The decision of whether a person is a candidate for the laparoscopic technique is based on an individual assessment. In general, however, the operation can be achieved laparoscopically in almost all cases. Factors which would increase the chances of needing the open operation include a history of prior operations on the stomach itself, or severe obesity with extremely elevated BMI. ...

If I need other abdominal surgery, can the band be applied at the same time?

Yes. Any one of these surgical procedures can be done at the same time, at no additional cost.

Will I be able to tone my abdominal muscles as I did before surgery?

Yes, and probably much better since the muscles are back where they belong

If I need other abdominal surgery (Hiatal Hernia, Tubal Ligation, Ovarian Cyst, etc.), can the band be applied at the same time?

Yes. Any one of these surgical procedures can be done at the same time, at no additional cost.
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