Outcomes of concomitant ventral hernia repair performed during bariatric surgery

  title={Outcomes of concomitant ventral hernia repair performed during bariatric surgery},
  author={Gautam Sharma and Mena Boules and Suriya Punchai and Andrew T. Strong and Dvir Froylich and Nanik Zubaidah and Colin O'rourke and Stacy Alan Brethauer and J. Rodriguez and Kevin M. El-Hayek and Matthew Kroh},
  journal={Surgical Endoscopy},
BackgroundCurrently there is no consensus on management of ventral hernias encountered during bariatric surgery (BS). This study aims to evaluate the incidence and outcomes of concomitant ventral hernia repair (VHR) during BS at our institution.MethodsPatients who had concomitant VHR during BS from 2004 to 2015 were identified. Data collected included baseline demographics, comorbidities, perioperative parameters, surgical approach and postoperative outcomes.ResultsA total of 159 patients… 

Concomitant ventral hernia repair and bariatric surgery: a retrospective analysis from a UK-based bariatric center

Synchronous VHR and BS in a bariatric unit is feasible with low recurrence rate and laparoscopic VHR has lower complication rates than open, apart from seroma formation.

Ventral Hernia Repair and Obesity: Results from a Nationwide Register Study in France According to the Timeframes of Hernia Repair and Bariatric Surgery

VHR before BS entailed a higher risk of reoperation for recurrence and should be avoided and a concomitant repair entailed the lowest rate of recurrence, according to a retrospective cohort study conducted in France.

Geriatric Inguinal Hernia and its Surgical Management – Findings From a Retrospective Study

Comorbidities, type of surgery (elective or emergency), type of hernia (simple or complicated), and age of the patients can make surgery more challenging in the geriatric population.

Concomitant Ventral Hernia Repair and Bariatric Surgery: a Systematic Review

Synthetic mesh provides a significantly lower recurrence rate without any increase in 30-day wound morbidity and concomitant treatment of small hernia defect is feasible and safe during bariatric surgery.

Management of ventral hernia in patients with BMI > 30 Kg/m2: outcomes based on an institutional algorithm

The institutional algorithm for ventral hernia management in obese patients has shown encouraging results in the short-to-medium term and long-term evaluation with a higher number of patients is needed to confirm its usefulness.

Abdominal wall surgery in bariatric patients

It is necessary to consider repairing simultaneously a ventral hernia (VH) in the patient who is going to undergo a bariatric procedure or differing it in order to perform simultaneously a concomitant repair and the dermolipectomy needed after weight loss.

Robotic Ventral Hernia Repair and Concomitant Procedures: Mid-term Outcomes and Risk Factors Associated With Postoperative Complications

This is the first study to report outcomes of concomitant repairs with RVHR, with notable Clavien-Dindo grade III and IV complications of 9%.

Obesity and Ventral Hernia Repair: Is There Success in Staging?

For the obese patient with large ventral hernia, the authors recommend a staged approach, beginning with bariatric surgery and deferring the hernia repair until significant weight loss is obtained.

Are Concomitant Operations During Bariatric Surgery Safe? An Analysis of the MBSAQIP Database

Findings would indicate that additional procedures at the time of bariatric surgery should be deferred if possible and length of stay and operative times are increased in concomitant operations as are readmissions, reinterventions, and reoperations.

Concurrent ventral hernia repair in patients undergoing laparoscopic bariatric surgery: a case-matched study using the National Surgical Quality Improvement Program Database.

  • Z. KhorgamiI. Haskins P. Schauer
  • Medicine
    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
  • 2017



Synchronous Ventral Hernia Repair in Patients Undergoing Bariatric Surgery

S-VHR is associated with an increase in SSI but not overall morbidity, and there is no significant difference in the SSI rate between RYGB and SG.

Concomitant bariatric and ventral/incisional hernia surgery in morbidly obese patients

Concomitant BS and VHR is feasible and safe, obviating the need for two separate procedures while not hampering the outcome of either and Complication rates for the combined surgery do not seem to be adversely affected.

Laparoscopic Repair of Ventral Hernias: Nine Years’ Experience With 850 Consecutive Hernias

In this large series of LVHRs, LVHR had a low rate of conversion to open surgery, a short hospital stay, a moderate complication rate, and a low risk of recurrence.

Concomitant Laparoscopic Ventral Hernia Mesh Repair and Bariatric Surgery: A Retrospective Study from a Tertiary Care Center

Concomitant mesh repair for ventral hernias can be safely combined with bariatric procedures like Roux en Y gastric bypass and sleeve gastrectomy, but, for beginners, these should be done only in selected cases after fully informed consent from the patients.

Repair of ventral hernias in morbidly obese patients undergoing laparoscopic gastric bypass should not be deferred

Biomaterial mesh (SIS) repair of ventral hernias concomitant with LRYGB resulted in the most favorable outcome albeit having short follow-up, as deferment may result in small bowel obstruction.

Ventral Hernia Repair in Bariatric Surgery

In morbidly obese patients, the optimal management and timing of incisional hernia repair should weigh the risk of recurrence and perioperative complications against therisk of hernia-associated complications.

Management of ventral hernias during laparoscopic gastric bypass.

Staged hernia repair preceded by gastric bypass for the treatment of morbidly obese patients with complex ventral hernias

Gastric bypass prior to staged ventralHernia repair in morbidly obese patients with complex ventral hernias is a safe and definitive method to effect weight loss and facilitate a durable hernia repair with a possible reduced risk of recurrence.

Is obesity a high-risk factor for laparoscopic colorectal surgery?

Laparoscopic colorectal segmental resections are feasible in obese patients, however, increased rates of conversion to laparotomy should be anticipated and the risk of postoperative complications is significantly increased, prolonging the length of hospitalization when compared to that of nonobese patients.

Factors that affect recurrence after incisional herniorrhaphy with prosthetic material.

Patients at the greater risk of recurrence are those aged over 60 years, with large, recurrent hernias and who develop local complications during the postoperative period.