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01-10-2020 | Sleeve Gastrectomy | Original Contributions

Laparoscopic Ventral Hernia Repair in Bariatric Patients: the Role of Defect Size and Deferred Repair

Authors: Stefano Olmi, Matteo Uccelli, Giovanni Carlo Cesana, Francesca Ciccarese, Alberto Oldani, Riccardo Giorgi, Stefano Maria De Carli, Roberta Villa, Adelinda Angela Giulia Zanoni, Ayman Ismail

Published in: Obesity Surgery | Issue 10/2020

Abstract

Purpose

To analyze the safety of laparoscopic ventral hernia delayed repair in bariatric patients with a composite mesh.

Materials and Methods

This retrospective single-center observational trial analyzed all bariatric/obese patients with concomitant ventral hernia who underwent laparoscopic abdominal hernia repair before bariatric surgery (group A) and laparoscopic delayed repair after weight loss obtained by the bariatric procedure (group B).

Results

Group A (30 patients) had a mean BMI of 37.8 ± 5.7 kg/m² (range: 34.0–74.2 kg/m²); group B (170 patients) had a mean BMI of 24.6 ± 4.5 kg/m² (range 19.0–29.8 kg/m²) (p < 0.05). Mean operative time: group A, 51.7 ± 26.6 min (range 30–120); group B 38.9 ± 21.5 min (range 25–110) (p < 0.05). Average length of stay: group A, 2.0 ± 2.7 days (range 1–5) versus group B, 2.8 ± 1.9 days (range 1–4) (p > 0.5). Recurrent hernia group A 1/30 (3.3%) versus recurrent hernia group B 4/170 (2.3%) (p > 0.5). Bulging: group A, 3/30 (10.0%) versus group B, 0/170 (0%) (p = 0.23).

Conclusion

The present study demonstrates the safety of performing LDR in patient candidates for bariatric surgery in cases of a large abdominal hernia (W2–W3) with a low risk of incarceration or an asymptomatic abdominal hernia. In the case of a small abdominal hernia (W1) or strongly symptomatic abdominal hernia, repair before bariatric surgery, along with subsequent bariatric surgery and any revision of the abdominal wall surgery with weight loss, is preferable.

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Title: Laparoscopic Ventral Hernia Repair in Bariatric Patients: the Role of Defect Size and Deferred Repair
Authors: Stefano Olmi
Matteo Uccelli
Giovanni Carlo Cesana
Francesca Ciccarese
Alberto Oldani
Riccardo Giorgi
Stefano Maria De Carli
Roberta Villa
Adelinda Angela Giulia Zanoni
Ayman Ismail
Publication date: 01-10-2020
Publisher: Springer US
Keywords: Sleeve Gastrectomy
Bariatric Surgery
Bariatric Surgery
Incisional Hernia
Published in: Obesity Surgery / Issue 10/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-04747-2

At a glance: The STEP trials

Springer Medicine

Laparoscopic Ventral Hernia Repair in Bariatric Patients: the Role of Defect Size and Deferred Repair

Abstract

Purpose

Materials and Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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