What is the BMI threshold for open ventral hernia repair?

What is the BMI threshold for open ventral hernia repair?

Background Overweight and obese patients are often asked to lose weight prior to ventral hernia repair (VHR). Improved outcomes are the reasons behind this strategy. Data regarding weight loss targets are scant, and it is not known at what body mass index (BMI) threshold postoperative complications...

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Veröffentlicht in:Surgical endoscopy 2017-03, Vol.31 (3), p.1311-1317
Hauptverfasser: Pernar, Luise I. M., Pernar, Claire H., Dieffenbach, Bryan V., Brooks, David C., Smink, Douglas S., Tavakkoli, Ali
Format: Artikel
Sprache:eng
Schlagworte:
Abdominal Surgery
Body Mass Index
Chi-square test
Clinical Decision-Making
Databases, Factual
Female
Gastroenterology
Gastrointestinal surgery
Gynecology
Hepatology
Hernia, Ventral - surgery
Hernias
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity - complications
Overweight
Patient Selection
Patients
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Proctology
Regression analysis
Reoperation
Risk Assessment
Surgeons
Surgery
Surgical outcomes
United States - epidemiology
Weight control
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Zusammenfassung:Background Overweight and obese patients are often asked to lose weight prior to ventral hernia repair (VHR). Improved outcomes are the reasons behind this strategy. Data regarding weight loss targets are scant, and it is not known at what body mass index (BMI) threshold postoperative complications increase. This study aimed to determine the threshold to allow proper patient counseling. Methods All patients who underwent open VHR at our institution between 2002 and 2015 captured in the NSQIP database were included. The primary outcome was defined as any (≥1) of 18 captured postoperative complications. Patients were divided into five groups based on BMI: group 1 (
ISSN:0930-2794
1432-2218
DOI:10.1007/s00464-016-5113-5