Obesity as a risk factor for complications and recurrences after ventral hernia repair

Nieto, Elena Pareja; Ponz, Carme Balague; Ananin, Sonia Fernandez; Ballester, E

doi:10.4103/ijawhs.ijawhs_35_19

Cited by 12 publications

(5 citation statements)

References 12 publications

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“… 21 , 22 In addition, recurrence rates are higher after hernia repair in patients with obesity. 23 , 24 In our report, four patients had parastomal hernias. Our approach to parastomal hernias is similar to our approach to any ventral hernia at the time of bariatric surgery.…”

Section: Discussionmentioning

confidence: 44%

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Portela

Vahibe

Badaoui

et al. 2022

Bariatric Surgical Practice and Patient Care

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Background: Bariatric surgery is the most effective treatment for weight loss and obesity-related comorbidity resolution. However, bariatric surgery is not readily offered in specific populations due to the lack of data assessing its feasibility. This study intends to evaluate bariatric surgery in patients with an existing ostomy. Methods: We conducted a retrospective case series to assess the safety of Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) in patients with an end ileostomy or colostomy. Patient demographics, including obesity-related comorbidities, overall health status (American Society of Anesthesiologists score), and short-term complications (up to 30 days postoperatively), were analyzed. Results: Six patients were included. The mean age was 58 years, and the mean preoperative body mass index was 41.6. Three patients had a colostomy, and three had an ileostomy. The mean time of ostomy before surgery was 11 years. Two ostomies were due to trauma, two due to inflammatory bowel disease, one due to cancer, and one due to scleroderma. Mean postoperative follow-up was 23 months. No patient had increased ostomy output or infusion center visit. One patient had an ED visit, one had a short-term complication, and one had SG conversion to RYGB. Conclusions: Bariatric surgery is technically feasible in selected patients with ileostomy/colostomy with a reasonable short-term safety profile.

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Section: Discussionmentioning

confidence: 44%

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Portela

Vahibe

Badaoui

et al. 2022

Bariatric Surgical Practice and Patient Care

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“…During the COVID-19 pandemic, EHS has recommended that elective abdominal wall surgery including hernia repair should be postponed [ 4 ]. Delayed hernia repair increased the risk of acute complications such as obstruction, incarceration, strangulation and complications caused by increasing hernia size [ 11 ]. In general, surgical techniques and materials do not change during a pandemic but COVID-19 infection risk and the patient’s clinical status shall be considered.…”

Section: Discussionmentioning

confidence: 99%

Modified peritoneal flap hernioplasty and abdominoplasty in large incisional hernia after cesarean section with midline vertical incision: a case report

Elfiah,

Saputra

2023

Journal of Surgical Case Reports

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An incisional hernia (IH) is a common complication after a cesarean section (CS). Large IH mesh repair is problematic when initial fascial closure cannot be accomplished. We report the case of a large IH for 20 months after a CS with a midline vertical incision that was treated with a combination of modified peritoneal flap hernioplasty and abdominoplasty. There was a large fascia defect (15 × 21 cm) and adhesions of the omentum and the ileum to the anterior abdominal wall. CS with midline vertical incision, history of surgical site infections and obesity are risk factors that increase IH. In conclusion, this combination successfully repairs a large IH, reduces obesity, prevents recurrence and complications after hernia repair, improves the abdominal shape and patient quality of life. Abdominoplasty is also performed to create new umbilical and vascular preservation.

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“…Undoubtedly, the immediate strength of fixing the mesh with adhesive solutions significantly increases the effectiveness of the surgical intervention, but it has remote negative consequences and can cause early recurrence and mesh reduction. However, this fixing method is one of the most non-traumatic methods and demonstrates clear advantages of LifeMesh TM technology [ 6 7 11 ]. The authors’ method tested on the main group had clear advantages over the method presented in [ 11 ], since it excluded mesh reduction and subsequent complications.…”

Section: Discussionmentioning

confidence: 99%

“…Obesity is the single most important reason, which is responsible for causing recurrences, complications, and ventral hernias in its entirety. The authors of the studies [ 1 6 7 8 ] presented the treatment results of patients with obesity, which is not only a risk factor for complications during abdominal surgery. The research focused in particular on the complications in the ventral abdominal wall hernias treatment, postoperative hernias, and complications after ventral hernia repair.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

Sokolova

Sherbatykh

Tolkachev

et al. 2021

International Journal of Surgery Protocols

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Background: The research aims to improve the surgical treatment results of incisional ventral hernia by applying a case-specific approach and a new method of anterior abdominal wall surgery. Materials and Methods: The paper reports the results of the prospective dynamic cohort study on 219 patients under 60 years of age, with small and medium hernias and up to 10 cm defects in the anterior abdominal wall (W1–W2), who underwent incisional ventral hernia treatment with mesh endoprostheses. Results: The paper offers a selection algorithm for anterior abdominal wall repair surgery and an original proprietary technique. We have developed and described in detail a new ‘extra-sublay’ technique of surgical intervention. The paper displays the frequency and pattern of complications, as well as the quality of life of patients after different prosthetic surgeries. In the main group, 65.0% of patients showed improvement, 88.4% showed long-term surgical success, 13.6% faced complications, and 4.5% experienced recurrence. Conclusion: After receiving the “on lay” treatment, 59.4% of patients showed positive results, 74.7% showed long-term surgical success, 40% had complications, and 3.1% experienced recurrence. After the “sub lay” intervention, 40.0% of patients demonstrated excellent results, 81.9% reached long-term success, 12% had complications, and 1.4% encountered recurrence. Highlights: The article shows a selection algorithm for anterior abdominal wall plastic repair method. One of the factors that cause relapses and ventral hernias themselves is obesity. The authors’ method of the VH surgical treatment has shown good results. Excellent indicators showed 65.0% of patients of the main group.

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Obesity as a risk factor for complications and recurrences after ventral hernia repair

Cited by 12 publications

References 12 publications

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study

Modified peritoneal flap hernioplasty and abdominoplasty in large incisional hernia after cesarean section with midline vertical incision: a case report

Efficacy Evaluation of a Case-Specific Approach for Surgical Treatment of Inicisional Ventral Hernia

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