Outcomes of concomitant ventral hernia repair performed during bariatric surgery
| Autor: | Gautam Sharma, Mena Boules, Suriya Punchai, Kevin El-Hayek, Matt Kroh, Stacy A. Brethauer, N. H. Zubaidah, Andrew T. Strong, Dvir Froylich, Colin O'Rourke, John Rodriguez |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Bariatric Surgery 030209 endocrinology & metabolism Type 2 diabetes Comorbidity 03 medical and health sciences 0302 clinical medicine Postoperative Complications Recurrence Weight Loss medicine Humans Herniorrhaphy Retrospective Studies Sutures business.industry Incidence (epidemiology) Incidence Reflux Perioperative Middle Aged Surgical Mesh medicine.disease Hernia Ventral Surgery Obstructive sleep apnea Treatment Outcome Concomitant Anesthesia 030211 gastroenterology & hepatology Female Laparoscopy Complication business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 31(4) |
| ISSN: | 1432-2218 |
| Popis: | Currently there is no consensus on management of ventral hernias encountered during bariatric surgery (BS). This study aims to evaluate the incidence and outcomes of concomitant ventral hernia repair (VHR) during BS at our institution. Patients who had concomitant VHR during BS from 2004 to 2015 were identified. Data collected included baseline demographics, comorbidities, perioperative parameters, surgical approach and postoperative outcomes. A total of 159 patients underwent concomitant VHR during the study period at the time of BS. One hundred and one (64 %) patients were female; median age was 53 years (IQR 45.0–60.3) and median BMI was 48.2 kg/m2 (IQR 41.6–54.1). Comorbidities included: hypertension (n = 124, 78 %), type 2 diabetes (n = 103, 65 %), hyperlipidemia (n = 100, 63 %), obstructive sleep apnea (n = 98, 62 %) and reflux disease (n = 54, 34 %). Out of 159 patients, 41 patients (26 %) had a prior VHR. Out of 103 patients, 69 patients (67 %) had a previous abdominal surgery. Of the concomitant VHR, 144 (91 %) were completed laparoscopically, 12 (7 %) patients were converted to open surgery and 3 (2 %) patients underwent primary open procedures. Technique included primary suture closure in 115 (72 %) and mesh repair in 44. Early postoperative complications ( 30 days) complication. Surgery for recurrent hernia was performed in 31/42 patients during follow-up. At 12-month follow-up, median BMI and % excess weight loss were 34.2 kg/m2 (IQR 29.5–40.9) and 59.6 % (IQR 44.9–74.8 %), respectively. Ventral hernia is a common finding in patients undergoing BS. Both primary suture repair and mesh repair result in acceptable results, both in terms of recurrence and perioperative complications. |
| Databáze: | OpenAIRE |
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