BACKGROUND AND AIMS: Repair of recurrent ventral hernias (RVHs) has a high failure rate more so in the presence of obesity. The chronic increase in intra-abdominal pressure (IAP) associated with obesity might, in part, be an important implicating factor that needs to be addressed in these patients. Laparoscopic ventral hernia repair (LVHR) done with concomitant bariatric surgery in morbidly obese patients with RVHs may avoid multiple failures. We report our preliminary experience in treating RVHs in morbidly obese patients with laparoscopic intra-peritoneal onlay mesh (IPOM) repair and concomitant bariatric surgery. METHODS: A retrospective review of all patients with a RVH who underwent concomitant bariatric surgery and laparoscopic IPOM repair at our institution from 2009 to 2013 was performed. Demographic, operative, postoperative, and follow-up data were collected. RESULTS: There were 23 patients included in the study. The mean BMI was 43.24. Fifteen patients had a previous open mesh repair, and eight had a laparoscopic IPOM repair. The patients had a median of 2 previous repairs (range 1-5 repairs). A laparoscopic sleeve gastrectomy was performed in 22 patients, and a laparoscopic Roux-en-Y gastric bypass was performed in one. The mean operating time was 112 min (65-220 min). The mean hospital stay was 3.3 days (2-8 days). A seroma was noted in four patients. No mesh infection or recurrence was noted at a median follow-up of 3.3 years (9 months to 5.5 years). CONCLUSION: Laparoscopic IPOM repair done with concomitant bariatric surgery in morbidly obese patients with RVHs seems promising with a low rate of early recurrence.
BACKGROUND AND AIMS: Repair of recurrent ventral hernias (RVHs) has a high failure rate more so in the presence of obesity. The chronic increase in intra-abdominal pressure (IAP) associated with obesity might, in part, be an important implicating factor that needs to be addressed in these patients. Laparoscopic ventral hernia repair (LVHR) done with concomitant bariatric surgery in morbidly obesepatients with RVHs may avoid multiple failures. We report our preliminary experience in treating RVHs in morbidly obesepatients with laparoscopic intra-peritoneal onlay mesh (IPOM) repair and concomitant bariatric surgery. METHODS: A retrospective review of all patients with a RVH who underwent concomitant bariatric surgery and laparoscopic IPOM repair at our institution from 2009 to 2013 was performed. Demographic, operative, postoperative, and follow-up data were collected. RESULTS: There were 23 patients included in the study. The mean BMI was 43.24. Fifteen patients had a previous open mesh repair, and eight had a laparoscopic IPOM repair. The patients had a median of 2 previous repairs (range 1-5 repairs). A laparoscopic sleeve gastrectomy was performed in 22 patients, and a laparoscopic Roux-en-Y gastric bypass was performed in one. The mean operating time was 112 min (65-220 min). The mean hospital stay was 3.3 days (2-8 days). A seroma was noted in four patients. No mesh infection or recurrence was noted at a median follow-up of 3.3 years (9 months to 5.5 years). CONCLUSION: Laparoscopic IPOM repair done with concomitant bariatric surgery in morbidly obesepatients with RVHs seems promising with a low rate of early recurrence.
Authors: Wojciech Szczesny; Magdalena Bodnar; Stanisław Dabrowiecki; Jakub Szmytkowski; Andrzej Marszałek Journal: J Surg Res Date: 2012-05-24 Impact factor: 2.192
Authors: P Praveen Raj; P Senthilnathan; R Kumaravel; S Rajpandian; P S Rajan; N Anand Vijay; C Palanivelu Journal: Obes Surg Date: 2012-05 Impact factor: 4.129
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
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