Ventral Hernia Management in Obese Patients

Management of midline ventral hernias in a surgical department of sub-Saharan Africa: A retrospective cohort study

“…In terms of risk factors, we found in our series obesity, work related physical effort and pregnancies. These same factors are found in the other countries but with different proportions [ 10 , 11 ].…”

“…The average age of our patients was 40.5 years, relatively young compared to developed countries studies with mainly advanced age attaining 88 years in some series [ 10 , 11 ].…”

“…This condition affects women more frequently as in our study where 56.3% of operated patients are women. This could be explained by the fact that two important risk factors (obesity, and pregnancy) are more frequent in women [ 10 ]. In terms of risk factors, we found in our series obesity, work related physical effort and pregnancies.…”

Efficacy of prophylactic negative pressure wound therapy after open ventral hernia repair: a systematic review meta-analysis

“…Open ventral hernia repair (OVHR) is favorable for large and complex anatomy due to advantages, such as clear anatomy, low operation difficulty, low effect of obesity, short anesthesia time, and low impact on intestinal function [ 3 ]. However, the potential dead space and mesh after OVHR can easily lead to surgical site occurrence (SSO), including surgical site infection (SSI), wound dehiscence, seroma, hematoma, skin necrosis, and hernia recurrence [ 4 ]. SSIs and other complications may further lead to extended hospital stays, delayed recovery, increased psychological stress, and higher treatment costs [ 5 ].…”

Association of body mass index with morbidity following elective ventral hernia repair

“…Generally, a BMI δ30 has been considered safe for VHR, while elective repair is contraindicated in patients with BMI >50 [ 2 ]. Some institutional algorithms [ 6 , 7 ] recommend preoperative weight loss or bariatric surgery for obese candidates, but no weight loss targets have been established to date [ 8 ].…”