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    • A Comparative Study Between the Use of Prolene Mesh and Conventional Muscle Plication for Correction of Musculoaponeurotic Laxity in Abdominoplasty

    Mohamed Farouk, M.D.* and Wael Naeem Thabet Aziz, M.D.**
    Department of Plastic Surgery, Faculty of Medicine, Beni Suef University* and Department of General Surgery, Plastic Surgery Division, Faculty of Medicine, Cairo University**

    Abdominoplasty is in increasing demand with the postpartum, post-bariatric, and aging abdomens seeking aesthetic contouring. The traditional technique with midline rectus plication has long been in use and has proven both effective and durable. Mesh usage has been proposed to have an additional supportive effect in cases with severe musculoaponeurotic laxity, but the associated risks make the unconditional use unwarranted. In this work, we compare traditional midline plication to additional mesh insertion. Both groups had satisfactory aesthetic results, with the mesh group having higher complication rates, longer operative time and hospital stay, and a higher cost. Mesh usage should be reserved for cases with concurrent large umbilical or paraumbilical hernias.

    Keywords: Abdominoplasty; Prolene; Polypropylene; Mesh; Muscle Plication; Rectus Diastasis.

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