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Question 7

Question: I have had numerous belly surgeries for intestinal problems. In the course of all these surgeries I have lost my bellybutton and have gained a "chesire cat" like smile that is at the bottom of my belly caused from midline incisions. My questions are 1)Can tummy tucks cause more adhesions? 2) Can adhesions interfere with a tummy tuck or simalar procedure. 3) Have you heard of insurance companies covering this type of surgery due to disfigurement?

Response: In answer to each of your questions,
  1. Tummy tucks should not cause more intestinal adhesions, but if you are at risk for problems with adhesions a tummy tuck will not reduce that risk.
  2. Adhesions reflect scar production and if you have scar in your abdominal cavity, you probably have scar on your abdominal wall which will make a tummy tuck a bit more difficult for the surgeon. Also, if you have a hernia from one of your abdominal incisions, your risk of complications might be increased compared with someone who does not.
  3. Sorry but I can give you no answers regarding insurance companies. Your policy is a contract between you and the company and will outline your benefits. You should direct all questions to them.

Submitted: Julie, CA
Response: 4-7-2007; Mark P. Solomon, MD, Bala Cynwyd, PA  Dr. Solomon's web site


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