On the frontal view note the extreme laxity and the bulge underneath the abdomen. On palpation, the bulge was rock solid, as opposed to a soft texture. This was indicative of a glob of fat that herniated, and then got incarcerated and converted by the body into fibrous tissue, a rare sequela of hernias.
This was confirmed via a ct scan, as well as a biopsy. In complicated cases, confirmation via studies is helpful, as we do not want to get in there and realize we are dealing with something we did not anticipate. See the CT scan below, confirming the mass is solid.
Next we examine the side view, where the extreme amount of laxity and the intrabdominal bulge is seen again. This is way beyond normal, and in Dr. Khalifeh’s experience this level of attenuated fascia requires repair and reinforcement to avoid quick recurrence. This absence of fascia band basic near evisceration of intraabdominal contents is very uncomfortable to live with and requires constant external support via compression for the patient to be comfortable.
The patient was kept one night in the hospital and discharged with drains. The drains are typically kept for about 4 weeks in cases where I use mesh, a bit longer than my 1-2 weeks for regular tummy tucks. The recovery to return back to work is about 4 weeks, and continue exercise will be about 10 weeks.
Here are pictures 2 months post-surgery