Ventral Hernia Repair in Bariatric Surgery
| Autor: | Helmut Weiss, Matthias Zitt, Alexander Klaus, Werner Kirchmayr, Hugo Bonatti, Elisabeth Hoeller, Gilbert Mühlmann, Felix Aigner |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Gastroplasty Endocrinology Diabetes and Metabolism medicine.medical_treatment Abdominal Hernia Comorbidity Body Mass Index Risk Factors medicine Humans Hernia Laparoscopy Retrospective Studies Nutrition and Dietetics medicine.diagnostic_test Abdominoplasty business.industry General surgery Perioperative Middle Aged medicine.disease Hernia repair Hernia Ventral digestive system diseases Obesity Morbid Surgery Bowel obstruction surgical procedures operative Tomography X-Ray Computed business Abdominal surgery |
| Zdroj: | Obesity Surgery. 14:655-658 |
| ISSN: | 1708-0428 0960-8923 |
| Popis: | Background: Obesity is an important risk factor for perioperative complications including the development of ventral hernias. Methods: This retrospective study comprises patients who underwent abdominal hernia repair simultaneously with or following implantation of a Swedish Adjustable Gastric Band® (SAGB). Results: 9 out of 415 patients (2.2%) who received a SAGB between January 1996 and June 2001 underwent ventral hernia repair. In 6 patients, hernias preexisted from previous abdominal surgery at the time of the bariatric procedure, and another 3 hernias occurred at the median and left upper abdominal trocar position following SAGB placement. Median BMI at time of SAGB implantation was 44 (range 35-52), and at time of hernia repair was 36 (range 25-46). 2 hernias were repaired during SAGB placement, 3 during redo surgery, and 2 during abdominoplasty. In 2 patients, significant weight loss with loss of soft tissue support of the hernia sac led to recurrent episodes of small bowel obstruction necessitating emergency repair. Repair included direct defect closure in 7 patients and sublay polypropylene net implantation in 2 patients. Recoveries have been uneventful without wound infections or recurrence in all patients after a median follow-up of 34 months (range 13-69). Conclusion: In morbidly obese patients, the optimal management and timing of incisional hernia repair should weigh the risk of recurrence and perioperative complications against the risk of hernia-associated complications. |
| Databáze: | OpenAIRE |
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