Caesarean Section Following Abdominoplasty With Mesh Repair: A Case Report.

Abstract

Abdominoplasty with mesh reinforcement is an increasingly used surgical technique for abdominal wall restoration, but there is limited literature regarding pregnancy and delivery following such procedures. We report the case of a 38-year-old woman with a history of previous caesarean section and subsequent abdominoplasty with mesh repair who underwent an elective caesarean section at 39 weeks' gestation. Intraoperatively, the mesh was encountered beneath the rectus muscles and was sharply dissected to access the peritoneal cavity. The baby was delivered via a standard lower uterine segment incision. Estimated blood loss was 1500 millilitres, and the patient had an uneventful recovery. Literature regarding caesarean delivery after abdominoplasty with mesh is scarce, with only isolated reports available. While mesh reinforcement provides structural benefits, it raises potential concerns for subsequent pregnancy and surgical access. Our case demonstrates that caesarean section after mesh-reinforced abdominoplasty is feasible with careful surgical planning. This report highlights the technical considerations of caesarean section in women with prior mesh repair and underscores the need for further long-term follow-up to assess maternal outcomes and abdominal wall integrity.