[Treatment of ventral hernias in patients with morbid obesity].

Autor:	Keshvedinova AA; Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Moscow, Russia., Smirnov AV; Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Moscow, Russia., Stankevich VR; Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Moscow, Russia., Sharobaro VI; Sechenov First Moscow State Medical University, Moscow, Russia., Ivanov YV; Federal Research and Clinical Center for Specialized Types of Medical Care and Medical Technologies, Moscow, Russia.; Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2023 (9), pp. 95-102.
DOI:	10.17116/hirurgia202309195
Abstrakt:	The review is devoted to the treatment of ventral hernias in patients with morbid obesity. This issue is important due to significant number of such patients and no unambiguous clinical recommendations. The advantages of simultaneous surgery (with bariatric intervention) are obvious, i.e. lower risk of postoperative hernia incarceration and no need for re-hospitalization with another intervention. High risk of bariatric population makes it necessary to minimize surgery time and surgical trauma. A staged approach with reducing body weight surgically or conservatively before hernia repair is often chosen. Hernia repair should be performed using laparoscopic or robotic techniques with obligatory use of mesh implants. Panniculectomy or abdominoplasty as the main surgery is a valid option. Currently, it is necessary to develop clear criteria for selecting patients with morbid obesity for staged and simultaneous treatment of ventral hernias.
Databáze:	MEDLINE
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