Abdominoplasty or ‘tummy tuck’ is a cosmetic or can be a reconstructive surgery aimed at tighten muscles that become loose or split following pregnancy, or to remove fat and extra loose skin from the abdomen after massive weight loss. In most cases, it will restore weakened or separated muscles, help alleviate pain, improve bladder function, reduce itching and skin infections caused by excess skin, and change the shape and tone of the abdomen to create a firmer and smoother profile. Patients and Method: a prospective study of twenty six patients (all are females), aged between 24 years and 46 years (mean age: 35 years) underwent tummy tuck abdominoplasty over 10 months (September 2015-augest 2016). All patients were having excess fat and skin. All patients reported a weight loss between15 kg and 23 kg (average weight lost: 19 kg). The average weight of the patients prior to the tummy tuck abdominoplasty was 82 kg (range 72-92). Results: of the minor complications, haematoma occurs in two patients (7.7%); partial skin necrosis occurs in one patient (3.8%); seroma occurs in four patients (15.83%). Wound dehiscence occurs in two patients (7.7%); delayed wound healing occurs in two patients (7.7%); one of them was the same patients who developed wound infection and the other was having high body mass index (>26%). Wound dehiscence and delayed wound healing is often associated with wound infection; the most common organisms isolated were Staphylococcus epidermidis, Staphylococcus aureus, and Escherichia coli. Umbilical necrosis occurs in one patient (3.8%); Of the major complications, blood loss of 400-500cc occurs in one patient (3.8%); wound infection documented both clinically and by positive gram stain for a swab taken from the site of incision occurs in two patients (7.7%). In conclusionGood preoperative assessment including detailed history and physical examination, considering the contraindication for the procedure and giving more attention to the intraoperative technique; all of these may decrease the incidence and risk of complications.

When a portion of the viscera protrudes through the wall of the cavity in which it is contained, this is called a hernia. Abdominal wall hernias occur when facial flaws in the abdominal wall allow for the protrusion. It is estimated that 700,000 people in the United States get abdominal hernia surgery every year. Asymptomatic hernias are common, but incarcerated or strangulated hernias necessitate rapid surgical intervention. The process of making a diagnosis is known as clinical diagnosis. Surgical repair is the only option for treatment.A prospective study in the surgical field was carried out in Baquba Teaching Hospital from September 2015 to July 2016.During the trial, 438 people were enrolled. Hernias were found in all of the patients who attended the surgery conference (Inguinal, umbilical, paraumbilical and incisional hernias). In conclusion: The inguinal, umbilical, paraumbilical, and incisal hernias are the most frequent types of abdominal wall hernias in adults. When a hernia repair fails because of a flaw in one area, all kinds of problems might arise. Surgeons who are well-versed in the latest techniques for hernia surgery can greatly reduce the risk of problems. In order to prevent iatrogenic injury to neighboring organs like nerves, arteries, or bowel, a well-trained doctor with thorough understanding of the anatomy of the anterior abdominal wall should execute the treatment in order to avoid problems such as seroma, haematoma, persistent discomfort, and recurrence.