BACKGROUND: There is no consensus regarding the optimal treatment of ventral hernias in patients who present for weight loss surgery. METHODS: Medical records of consecutive morbidly obese patients who underwent laparoscopic Roux-en-Y (LRYGB) gastric bypass with a secondary diagnosis of ventral hernia were reviewed. Only patients who were beyond 6 months of follow-up were included. RESULTS: The study population was 85 patients. There were three groups of patients according to the method of repair: primary repair (59), small intestine submucosa (SIS) (12), and deferred treatment (14). Average follow-up was 26 months. There was a 22% recurrence in the primary repair group. There were no recurrences in the SIS group. Five of the patients in the deferred treatment group (37.5%) presented with small bowel obstruction due to incarceration. CONCLUSION: Biomaterial mesh (SIS) repair of ventral hernias concomitant with LRYGB resulted in the most favorable outcome albeit having short follow-up. Concomitant primary repair is associated with a high rate of recurrence. All incarcerated ventral hernias should be repaired concomitant with LRYGB, as deferment may result in small bowel obstruction.
BACKGROUND: There is no consensus regarding the optimal treatment of ventral hernias in patients who present for weight loss surgery. METHODS: Medical records of consecutive morbidly obesepatients who underwent laparoscopic Roux-en-Y (LRYGB) gastric bypass with a secondary diagnosis of ventral hernia were reviewed. Only patients who were beyond 6 months of follow-up were included. RESULTS: The study population was 85 patients. There were three groups of patients according to the method of repair: primary repair (59), small intestine submucosa (SIS) (12), and deferred treatment (14). Average follow-up was 26 months. There was a 22% recurrence in the primary repair group. There were no recurrences in the SIS group. Five of the patients in the deferred treatment group (37.5%) presented with small bowel obstruction due to incarceration. CONCLUSION: Biomaterial mesh (SIS) repair of ventral hernias concomitant with LRYGB resulted in the most favorable outcome albeit having short follow-up. Concomitant primary repair is associated with a high rate of recurrence. All incarcerated ventral hernias should be repaired concomitant with LRYGB, as deferment may result in small bowel obstruction.
Authors: B J Ramshaw; P Esartia; J Schwab; E M Mason; R A Wilson; T D Duncan; J Miller; G W Lucas; J Promes Journal: Am Surg Date: 1999-09 Impact factor: 0.688
Authors: Ioannis Raftopoulos; Daniel Vanuno; Jubin Khorsand; Joseph Ninos; G Kouraklis; Phillip Lasky Journal: J Laparoendosc Adv Surg Tech A Date: 2002-12 Impact factor: 1.878
Authors: G Sharma; M Boules; S Punchai; A Strong; D Froylich; N H Zubaidah; C O'Rourke; S A Brethauer; J Rodriguez; K El-Hayek; M Kroh Journal: Surg Endosc Date: 2016-08-05 Impact factor: 4.584
Authors: Siok S Ching; Abeezar I Sarela; Simon P L Dexter; Jeremy D Hayden; Michael J McMahon Journal: Surg Endosc Date: 2008-07-12 Impact factor: 4.584