Hernia Management in a Bariatric Patient Population: A Summary of Treatment Recommendations at a High-Volume Bariatric Center

This study reviews treatment recommendations and patient compliance at a multi-surgeon bariatric clinic.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Bariatric and Foregut Source Type: research

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Hiatal hernias are often repaired concurrently with bariatric surgery to reduce risk of GERD-related complications.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
ConclusionsIn this study, staged mesh repair of complex abdominal wall hernias after bariatric surgery in morbidly obese patients was associated with acceptable morbidity and no hernia recurrences at approximately 1.5  year follow-up.
Source: Hernia - Category: Sports Medicine Source Type: research
Paraesophageal hernias (PEH) are common among patients with obesity. Most patients with severe obesity and a PEH will have the PEH repaired at the time of bariatric surgery. However, it is unclear whether there is increased risk when repairing a PEH during bariatric surgery.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Paraesophageal hernias (PEH) are common among patients with obesity. Most patients with severe obesity and a PEH will have it repaired at the time of bariatric surgery. However, it is unclear whether there is increased risk for repairing a PEH during bariatric surgery.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
ConclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Background: As bariatric surgery becomes increasingly prevalent, new questions arise regarding management of coexisting surgical issues in this population. No clear consensus exists regarding treatment of patients undergoing bariatric surgery with concomitant or recurrent hernias. We aim to review the available literature in order to provide recommendations regarding hernia repair in these patients.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair [1,2]. These complications include a higher risk of recurrence, wound infection, wound breakdown, and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference, and visceral fat may play a role, as might the association of obesity with type 2 diabetes.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Paired editorial Source Type: research
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair (1,2). These include a higher risk of recurrence, wound infection, wound breakdown and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference and visceral fat may play a role as does the association of obesity with type 2 diabetes.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Patients with obesity have a higher incidence of ventral hernias and are at greater risk of developing complications after hernia repair [1,2]. These complications include a higher risk of recurrence, wound infection, wound breakdown, and venous thromboembolic episodes. The elevated intra-abdominal pressure, increased abdominal circumference, and visceral fat may play a role, as might the association of obesity with type 2 diabetes.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Paired Editorial Source Type: research
We present a case of 60-year-old man with a body mass index of 45.3 kg/m2 with a large recurrent ventral hernia. We performed a lap sleeve gastrectomy with laparoendoscopic anterior component separation with IPOM. The operative steps included hernia contents reduction, conventional sleeve gastrectomy, anterior component separation on either side, intra-corporeal closure of hernia defect and placement of a composite mesh. Patient recovery was uneventful. Concomitant bariatric surgery with laparoendoscopic component separation with IPOM may be safe, but more studies are required.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
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