Simultaneous Panniculectomy and Ventral Hernia Repair Following Weight Reduction after Gastric Bypass Surgery: Is it Safe?

Abstract

Following obesity surgery, simultaneous ventral hernia repair and panniculectomy can be accomplished safely with short hospital stays and few in-hospital complications. Postoperative wound problems are not infrequent but can be managed in the outpatient setting.

Management of Patients with Hernia or Incisional Hernia Undergoing Surgery for Morbid Obesity

“…The existing experience when performing concomitant LVHR and LRYGBP and the use of biomaterials for the morbidly obese population have been controversial [18]. However, some studies have showed that following obesity surgery, simultaneous ventral hernia repair and panniculectomy can be accomplished safely with short hospital stays and few in-hospital complications, and this is independent of the mesh material used [19]. Postoperative wound problems are not infrequent but can be managed in the outpatient setting.…”

Intraoperative indocyanine green fluorescence angiography to predict wound complications in complex ventral hernia repair

“…Panniculectomy is association with increased risk of wound complication [7], with up to 31 % of wounds requiring sharp debridement postoperatively [8], and postoperative wound breakdown requiring treatment in 18 % of patients [9]. Currently, a surgeon's clinical judgment is considered the gold standard for identification of underperfused skin and soft tissue after panniculectomy or elevation of wide skin flaps for CST; the high frequency of complications indicates that this is not sufficient.…”

The correlation of histopathological subcutaneous adipose tissue changes with post bariatric wound healing complications

“…3,15 This is probably affected by the nutrition deficiency and micro-architecture changes of the skin that alter immunity and integrity of the skin through different mechanisms. 16 In the current study, our overall complication rate was high, approaching half of our patients (49% of patients). There were no thromboembolic events and no mesh had to be removed; no mortality has been recorded.…”