Is weight trajectory a better marker of wound complication risk than BMI in hernia patients with obesity?

Casson, Cameron; Blatnik, Jeffrey; Majumder, Arnab; Holden, Sara

doi:10.1007/s00464-023-10596-8

Cited by 1 publication

(1 citation statement)

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“…It is also recommended to stratify the management of obese patients based on BMI, or by measuring the preoperative visceral and subcutaneous fat composition with better predictive ability[ 28 ]. In particular, patients with a BMI ≥ 35.0 kg/m 2 may benefit from weight loss prior to repair surgery to reduce recurrence rates[ 24 , 29 ].…”

Section: Risk Of Ih Following Laparoscopic Colorectal Surgerymentioning

confidence: 99%

Occurrence and prevention of incisional hernia following laparoscopic colorectal surgery

Wu,

Yang,

Wang

et al. 2024

World J Gastrointest Surg

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Among minimally invasive surgical procedures, colorectal surgery is associated with a notably higher incidence of incisional hernia (IH), ranging from 1.7% to 24.3%. This complication poses a significant burden on the healthcare system annually, necessitating urgent attention from surgeons. In a study published in the World Journal of Gastrointestinal Surgery , Fan et al compared the incidence of IH among 1614 patients who underwent laparoscopic colorectal surgery with different extraction site locations and evaluated the risk factors associated with its occurrence. This editorial analyzes the current risk factors for IH after laparoscopic colorectal surgery, emphasizing the impact of obesity, surgical site infection, and the choice of incision location on its development. Furthermore, we summarize the currently available preventive measures for IH. Given the low surgical repair rate and high recurrence rate associated with IH, prevention deserves greater research and attention compared to treatment.

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Section: Risk Of Ih Following Laparoscopic Colorectal Surgerymentioning

confidence: 99%