Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database
Purpose Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m 2 ) on the results of midline primary ventral hernia repair...
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| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2024-06, Vol.28 (3), p.779-788 |
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| creator | Turmine, J. Florence, A.-M. Tardivon, C. Passot, G. Gillion, J.-F. Moszkowicz, D. |
| description | Purpose
Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m
2
) on the results of midline primary ventral hernia repair (mPVHR), in comparison with non-severely obese patients.
Methods
Data were extracted from a multicentric registry, in which patients’ data are consecutively and anonymously collected. We conducted a retrospective comparative study on patients with severe obesity (sOb) versus non-severely obese patients (non-sOb), who underwent surgery, with a minimal 2-year follow-up after their mPVHR.
Results
Among 2307 patients, 267 sOb and 2040 non-sOb matched inclusion criteria. Compared with non-sOb, sOb group gathered all the worse conditions and risk factors: more ASA3-4 (39.3% vs. 10.2%;
p
|
| doi_str_mv | 10.1007/s10029-023-02875-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2864620208</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2864620208</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-922ffaa90ad4ae75620d682e34690494d1543bd223c6eee261d09b5309559293</originalsourceid><addsrcrecordid>eNp9kctu1DAUhi0EomXgBVggS2zaRcCxnRu7asRQpEpFaveW45x0XBJn8HEQ7TPyUD3pDBexYOGL7P98_9H5GXudi3e5ENV7pF02mZCKVl0V2f0TdpxLXWeNFPrpX_cj9gLxVghR67J-zo5UVS0V-pj9vGwBfbrjPrgIFgF52gLHOd54ZwfupnE3wI9FYUPHo8evfOp5BDfHCMEBt32CyEffDT4A30U_2njHv0NIkeq3EIO3pN9ZHz_QifOQkE-BSyUqvrPJkxJ5H6fx0XmzULf8anIeyJS8DoilJSDyydVm_SVbn58S7MZjoqfOJttS7y_Zs94OCK8O54pdbz5er8-zi8tPn9dnF5lTskw0Edn31jbCdtpCVZRSdGUtQemyEbrRXV5o1XZSKlcCgCzzTjRtoURTFI1s1Iqd7LG7OH2bAZMZPToYBhtgmtHIutTElKIm6dt_pLfTHAM1Z5SoBdnVZLNicq9ycUKM0JvDGE0uzBK12UdtKGrzGLW5p6I3B_TcjtD9LvmVLQnUXoD0FWh2f7z_g30AdRG3AA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3080904822</pqid></control><display><type>article</type><title>Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Turmine, J. ; Florence, A.-M. ; Tardivon, C. ; Passot, G. ; Gillion, J.-F. ; Moszkowicz, D.</creator><creatorcontrib>Turmine, J. ; Florence, A.-M. ; Tardivon, C. ; Passot, G. ; Gillion, J.-F. ; Moszkowicz, D. ; SFCP-CH (Club Hernie working group)</creatorcontrib><description><![CDATA[Purpose
Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m
2
) on the results of midline primary ventral hernia repair (mPVHR), in comparison with non-severely obese patients.
Methods
Data were extracted from a multicentric registry, in which patients’ data are consecutively and anonymously collected. We conducted a retrospective comparative study on patients with severe obesity (sOb) versus non-severely obese patients (non-sOb), who underwent surgery, with a minimal 2-year follow-up after their mPVHR.
Results
Among 2307 patients, 267 sOb and 2040 non-sOb matched inclusion criteria. Compared with non-sOb, sOb group gathered all the worse conditions and risk factors: more ASA3-4 (39.3% vs. 10.2%;
p
< 0.001), symptomatic hernia (15.7% vs. 6.8%;
p
< 0.001), defect > 4 cm in diameter (24.3% vs. 8.8%;
p
< 0.001), emergency surgery (6.1% vs. 2.5%;
p
= 0.003), and Altemeir class > 1 (9.4% vs. 2.9%;
p
< 0.001). Laparoscopic IPOM was used more often in sOb patients (40% vs. 32%;
p
= 0.016), but with smaller Hauters’ ratio (46 vs. 73;
p
< 0.001). Compared with the non-sOb, the rate of day-case surgery was lower (48% vs. 68%;
p
< 0.001), the surgical site occurrences were significantly more frequent (6.4 %vs. 2.5%;
p
< 0.001). The main outcome, 2-year recurrence, was 5.9% in the sOb vs. 2.1% (
p
= 0.008), and 2-year reoperations was 3% vs. 0.3% (
p
= 0.006). In the adjusted analysis, severe obesity was an independent risk factor for recurrence [OR = 2.82, (95%CI, 1.45; 5.22);
p
= 0.003].
Conclusion
In patients with severe obesity, mPVHR is technically challenging and recurrence rate is three times higher than that of non-severely obese patients.]]></description><identifier>ISSN: 1248-9204</identifier><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-023-02875-z</identifier><identifier>PMID: 37702874</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Complex Incisional Hernia ; Female ; France - epidemiology ; Hernia ; Hernia, Ventral - complications ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity - complications ; Obesity, Morbid - complications ; Obesity, Morbid - surgery ; Original Article ; Recurrence ; Registries ; Retrospective Studies ; Risk Factors ; Surgery</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2024-06, Vol.28 (3), p.779-788</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-922ffaa90ad4ae75620d682e34690494d1543bd223c6eee261d09b5309559293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-023-02875-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-023-02875-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37702874$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turmine, J.</creatorcontrib><creatorcontrib>Florence, A.-M.</creatorcontrib><creatorcontrib>Tardivon, C.</creatorcontrib><creatorcontrib>Passot, G.</creatorcontrib><creatorcontrib>Gillion, J.-F.</creatorcontrib><creatorcontrib>Moszkowicz, D.</creatorcontrib><creatorcontrib>SFCP-CH (Club Hernie working group)</creatorcontrib><title>Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description><![CDATA[Purpose
Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m
2
) on the results of midline primary ventral hernia repair (mPVHR), in comparison with non-severely obese patients.
Methods
Data were extracted from a multicentric registry, in which patients’ data are consecutively and anonymously collected. We conducted a retrospective comparative study on patients with severe obesity (sOb) versus non-severely obese patients (non-sOb), who underwent surgery, with a minimal 2-year follow-up after their mPVHR.
Results
Among 2307 patients, 267 sOb and 2040 non-sOb matched inclusion criteria. Compared with non-sOb, sOb group gathered all the worse conditions and risk factors: more ASA3-4 (39.3% vs. 10.2%;
p
< 0.001), symptomatic hernia (15.7% vs. 6.8%;
p
< 0.001), defect > 4 cm in diameter (24.3% vs. 8.8%;
p
< 0.001), emergency surgery (6.1% vs. 2.5%;
p
= 0.003), and Altemeir class > 1 (9.4% vs. 2.9%;
p
< 0.001). Laparoscopic IPOM was used more often in sOb patients (40% vs. 32%;
p
= 0.016), but with smaller Hauters’ ratio (46 vs. 73;
p
< 0.001). Compared with the non-sOb, the rate of day-case surgery was lower (48% vs. 68%;
p
< 0.001), the surgical site occurrences were significantly more frequent (6.4 %vs. 2.5%;
p
< 0.001). The main outcome, 2-year recurrence, was 5.9% in the sOb vs. 2.1% (
p
= 0.008), and 2-year reoperations was 3% vs. 0.3% (
p
= 0.006). In the adjusted analysis, severe obesity was an independent risk factor for recurrence [OR = 2.82, (95%CI, 1.45; 5.22);
p
= 0.003].
Conclusion
In patients with severe obesity, mPVHR is technically challenging and recurrence rate is three times higher than that of non-severely obese patients.]]></description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Complex Incisional Hernia</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Hernia</subject><subject>Hernia, Ventral - complications</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Article</subject><subject>Recurrence</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Surgery</subject><issn>1248-9204</issn><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kctu1DAUhi0EomXgBVggS2zaRcCxnRu7asRQpEpFaveW45x0XBJn8HEQ7TPyUD3pDBexYOGL7P98_9H5GXudi3e5ENV7pF02mZCKVl0V2f0TdpxLXWeNFPrpX_cj9gLxVghR67J-zo5UVS0V-pj9vGwBfbrjPrgIFgF52gLHOd54ZwfupnE3wI9FYUPHo8evfOp5BDfHCMEBt32CyEffDT4A30U_2njHv0NIkeq3EIO3pN9ZHz_QifOQkE-BSyUqvrPJkxJ5H6fx0XmzULf8anIeyJS8DoilJSDyydVm_SVbn58S7MZjoqfOJttS7y_Zs94OCK8O54pdbz5er8-zi8tPn9dnF5lTskw0Edn31jbCdtpCVZRSdGUtQemyEbrRXV5o1XZSKlcCgCzzTjRtoURTFI1s1Iqd7LG7OH2bAZMZPToYBhtgmtHIutTElKIm6dt_pLfTHAM1Z5SoBdnVZLNicq9ycUKM0JvDGE0uzBK12UdtKGrzGLW5p6I3B_TcjtD9LvmVLQnUXoD0FWh2f7z_g30AdRG3AA</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Turmine, J.</creator><creator>Florence, A.-M.</creator><creator>Tardivon, C.</creator><creator>Passot, G.</creator><creator>Gillion, J.-F.</creator><creator>Moszkowicz, D.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20240601</creationdate><title>Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database</title><author>Turmine, J. ; Florence, A.-M. ; Tardivon, C. ; Passot, G. ; Gillion, J.-F. ; Moszkowicz, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-922ffaa90ad4ae75620d682e34690494d1543bd223c6eee261d09b5309559293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Complex Incisional Hernia</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Hernia</topic><topic>Hernia, Ventral - complications</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - complications</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Article</topic><topic>Recurrence</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turmine, J.</creatorcontrib><creatorcontrib>Florence, A.-M.</creatorcontrib><creatorcontrib>Tardivon, C.</creatorcontrib><creatorcontrib>Passot, G.</creatorcontrib><creatorcontrib>Gillion, J.-F.</creatorcontrib><creatorcontrib>Moszkowicz, D.</creatorcontrib><creatorcontrib>SFCP-CH (Club Hernie working group)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turmine, J.</au><au>Florence, A.-M.</au><au>Tardivon, C.</au><au>Passot, G.</au><au>Gillion, J.-F.</au><au>Moszkowicz, D.</au><aucorp>SFCP-CH (Club Hernie working group)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>28</volume><issue>3</issue><spage>779</spage><epage>788</epage><pages>779-788</pages><issn>1248-9204</issn><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract><![CDATA[Purpose
Obesity is a known risk factor of recurrence after hernia surgery, but available data often concern pooled cases of primary and incisional hernia, with short follow-up. We aimed to analyze the impact of severe obesity (BMI ≥ 35 kg/m
2
) on the results of midline primary ventral hernia repair (mPVHR), in comparison with non-severely obese patients.
Methods
Data were extracted from a multicentric registry, in which patients’ data are consecutively and anonymously collected. We conducted a retrospective comparative study on patients with severe obesity (sOb) versus non-severely obese patients (non-sOb), who underwent surgery, with a minimal 2-year follow-up after their mPVHR.
Results
Among 2307 patients, 267 sOb and 2040 non-sOb matched inclusion criteria. Compared with non-sOb, sOb group gathered all the worse conditions and risk factors: more ASA3-4 (39.3% vs. 10.2%;
p
< 0.001), symptomatic hernia (15.7% vs. 6.8%;
p
< 0.001), defect > 4 cm in diameter (24.3% vs. 8.8%;
p
< 0.001), emergency surgery (6.1% vs. 2.5%;
p
= 0.003), and Altemeir class > 1 (9.4% vs. 2.9%;
p
< 0.001). Laparoscopic IPOM was used more often in sOb patients (40% vs. 32%;
p
= 0.016), but with smaller Hauters’ ratio (46 vs. 73;
p
< 0.001). Compared with the non-sOb, the rate of day-case surgery was lower (48% vs. 68%;
p
< 0.001), the surgical site occurrences were significantly more frequent (6.4 %vs. 2.5%;
p
< 0.001). The main outcome, 2-year recurrence, was 5.9% in the sOb vs. 2.1% (
p
= 0.008), and 2-year reoperations was 3% vs. 0.3% (
p
= 0.006). In the adjusted analysis, severe obesity was an independent risk factor for recurrence [OR = 2.82, (95%CI, 1.45; 5.22);
p
= 0.003].
Conclusion
In patients with severe obesity, mPVHR is technically challenging and recurrence rate is three times higher than that of non-severely obese patients.]]></abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>37702874</pmid><doi>10.1007/s10029-023-02875-z</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1248-9204 |
| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2024-06, Vol.28 (3), p.779-788 |
| issn | 1248-9204 1265-4906 1248-9204 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2864620208 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Abdominal Surgery Adult Aged Complex Incisional Hernia Female France - epidemiology Hernia Hernia, Ventral - complications Hernia, Ventral - surgery Hernias Herniorrhaphy Humans Laparoscopy Male Medicine Medicine & Public Health Middle Aged Obesity Obesity - complications Obesity, Morbid - complications Obesity, Morbid - surgery Original Article Recurrence Registries Retrospective Studies Risk Factors Surgery |
| title | Obesity increases the surgical complexity and risk of recurrence after midline primary ventral hernia repair: results on 2307 patients from the French Society of hernia surgery (SFCP-CH) registry database |
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