Obesity and laparoscopic repair of ventral hernias
Laparoscopic ventral hernia repair (LVHR) is gaining acceptance and compares favorably with open repair. Patients who are morbidly obese (MO) traditionally have been considered poor surgical candidates for ventral hernia repair because of their associated comorbidities and risk of postoperative woun...
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| Veröffentlicht in: | Surgical endoscopy 2001-12, Vol.15 (12), p.1419-1422 |
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| creator | BIRGISSON, G PARK, A. E MASTRANGELO, M. J WITZKE, D. B CHU, U. B |
| description | Laparoscopic ventral hernia repair (LVHR) is gaining acceptance and compares favorably with open repair. Patients who are morbidly obese (MO) traditionally have been considered poor surgical candidates for ventral hernia repair because of their associated comorbidities and risk of postoperative wound infection and hernia recurrence. In this study we evaluated our experience with LVHR in patients who are obese and those who are morbidly obese.
All 64 patients undergoing LVHR at the University of Kentucky between September 1997 and October 2000, representing 66 hernias, were entered prospectively into a database. Data before, during, and after surgery were collected as well as follow-up data. Patients were divided into three groups on the basis of body mass index (BMI): normal to overweight (BMI < or = 29); obese (BMI 30-39), and MO (BMI > or = 40).
There were 16 patients in the MO group, most of them women. The mean BMI was 43.9 (range, 40-60), and the mean age was 45.6 years (range, 25-68 years). The location of defects was similar among the groups, as were the number of prior repairs. The operative time and length of stay for the MO group tended to be longer than for the other two groups. Five minor complications occurred in the MO group. During a follow-up period ranging from 1 to 35 months, there were no recurrences.
Laparoscopic repair of ventral hernias in patients who are morbidly obese is both safe and feasible, and can be performed with minimal morbidity. At this writing, there have been no recurrences, but long-term follow-up evaluation is required. |
| doi_str_mv | 10.1007/s004640080077 |
| format | Article |
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All 64 patients undergoing LVHR at the University of Kentucky between September 1997 and October 2000, representing 66 hernias, were entered prospectively into a database. Data before, during, and after surgery were collected as well as follow-up data. Patients were divided into three groups on the basis of body mass index (BMI): normal to overweight (BMI < or = 29); obese (BMI 30-39), and MO (BMI > or = 40).
There were 16 patients in the MO group, most of them women. The mean BMI was 43.9 (range, 40-60), and the mean age was 45.6 years (range, 25-68 years). The location of defects was similar among the groups, as were the number of prior repairs. The operative time and length of stay for the MO group tended to be longer than for the other two groups. Five minor complications occurred in the MO group. During a follow-up period ranging from 1 to 35 months, there were no recurrences.
Laparoscopic repair of ventral hernias in patients who are morbidly obese is both safe and feasible, and can be performed with minimal morbidity. At this writing, there have been no recurrences, but long-term follow-up evaluation is required.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s004640080077</identifier><identifier>PMID: 11965457</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Abdomen ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Body Mass Index ; Cellulitis - etiology ; Female ; Follow-Up Studies ; Hernia, Ventral - surgery ; Humans ; Intestines - injuries ; Intestines - surgery ; Intraoperative Complications - etiology ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Length of Stay ; Male ; Medical sciences ; Middle Aged ; Obesity - surgery ; Obesity, Morbid - surgery ; Postoperative Complications - etiology ; Postoperative Complications - surgery ; Prospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system</subject><ispartof>Surgical endoscopy, 2001-12, Vol.15 (12), p.1419-1422</ispartof><rights>2002 INIST-CNRS</rights><rights>2001 Springer-Verlag New York Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c346t-89386094ab807e7d4d940239cfb3b24dfd6f7776c9c188574bcee501b13a24123</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13382521$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11965457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BIRGISSON, G</creatorcontrib><creatorcontrib>PARK, A. E</creatorcontrib><creatorcontrib>MASTRANGELO, M. J</creatorcontrib><creatorcontrib>WITZKE, D. B</creatorcontrib><creatorcontrib>CHU, U. B</creatorcontrib><title>Obesity and laparoscopic repair of ventral hernias</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Laparoscopic ventral hernia repair (LVHR) is gaining acceptance and compares favorably with open repair. Patients who are morbidly obese (MO) traditionally have been considered poor surgical candidates for ventral hernia repair because of their associated comorbidities and risk of postoperative wound infection and hernia recurrence. In this study we evaluated our experience with LVHR in patients who are obese and those who are morbidly obese.
All 64 patients undergoing LVHR at the University of Kentucky between September 1997 and October 2000, representing 66 hernias, were entered prospectively into a database. Data before, during, and after surgery were collected as well as follow-up data. Patients were divided into three groups on the basis of body mass index (BMI): normal to overweight (BMI < or = 29); obese (BMI 30-39), and MO (BMI > or = 40).
There were 16 patients in the MO group, most of them women. The mean BMI was 43.9 (range, 40-60), and the mean age was 45.6 years (range, 25-68 years). The location of defects was similar among the groups, as were the number of prior repairs. The operative time and length of stay for the MO group tended to be longer than for the other two groups. Five minor complications occurred in the MO group. During a follow-up period ranging from 1 to 35 months, there were no recurrences.
Laparoscopic repair of ventral hernias in patients who are morbidly obese is both safe and feasible, and can be performed with minimal morbidity. At this writing, there have been no recurrences, but long-term follow-up evaluation is required.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cellulitis - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hernia, Ventral - surgery</subject><subject>Humans</subject><subject>Intestines - injuries</subject><subject>Intestines - surgery</subject><subject>Intraoperative Complications - etiology</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Obesity - surgery</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Prospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpd0M9LwzAUB_AgipvTo1cpgt6q7yVpkxxl-AsGu-i5pGmCHV1bk1bYf7_ICkNPjwcfvrz3JeQa4QEBxGMA4DkHkHERJ2SOnNGUUpSnZA6KQUqF4jNyEcIGIlWYnZMZosoznok5oevShnrYJbqtkkb32nfBdH1tEm97Xfukc8mPbQevm-TL-rbW4ZKcOd0EezXNBfl8ef5YvqWr9ev78mmVGsbzIZWKyRwU16UEYUXFK8WBMmVcyUrKK1flTgiRG2VQykzw0libAZbINOVI2YLcH3J7332PNgzFtg7GNo1ubTeGQiCDDEFGePsPbrrRt_G2gqLiigsGEaUHZOKHwVtX9L7ear8rEIrfJos_TUZ_M4WO5dZWRz1VF8HdBHQwunFet6YOR8eYpBlFtgfQVXhJ</recordid><startdate>20011201</startdate><enddate>20011201</enddate><creator>BIRGISSON, G</creator><creator>PARK, A. E</creator><creator>MASTRANGELO, M. 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B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-89386094ab807e7d4d940239cfb3b24dfd6f7776c9c188574bcee501b13a24123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Cellulitis - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hernia, Ventral - surgery</topic><topic>Humans</topic><topic>Intestines - injuries</topic><topic>Intestines - surgery</topic><topic>Intraoperative Complications - etiology</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Obesity - surgery</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Prospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BIRGISSON, G</creatorcontrib><creatorcontrib>PARK, A. E</creatorcontrib><creatorcontrib>MASTRANGELO, M. J</creatorcontrib><creatorcontrib>WITZKE, D. B</creatorcontrib><creatorcontrib>CHU, U. 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All 64 patients undergoing LVHR at the University of Kentucky between September 1997 and October 2000, representing 66 hernias, were entered prospectively into a database. Data before, during, and after surgery were collected as well as follow-up data. Patients were divided into three groups on the basis of body mass index (BMI): normal to overweight (BMI < or = 29); obese (BMI 30-39), and MO (BMI > or = 40).
There were 16 patients in the MO group, most of them women. The mean BMI was 43.9 (range, 40-60), and the mean age was 45.6 years (range, 25-68 years). The location of defects was similar among the groups, as were the number of prior repairs. The operative time and length of stay for the MO group tended to be longer than for the other two groups. Five minor complications occurred in the MO group. During a follow-up period ranging from 1 to 35 months, there were no recurrences.
Laparoscopic repair of ventral hernias in patients who are morbidly obese is both safe and feasible, and can be performed with minimal morbidity. At this writing, there have been no recurrences, but long-term follow-up evaluation is required.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11965457</pmid><doi>10.1007/s004640080077</doi><tpages>4</tpages></addata></record> |
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| subjects | Abdomen Adult Aged Aged, 80 and over Biological and medical sciences Body Mass Index Cellulitis - etiology Female Follow-Up Studies Hernia, Ventral - surgery Humans Intestines - injuries Intestines - surgery Intraoperative Complications - etiology Laparoscopy - adverse effects Laparoscopy - methods Length of Stay Male Medical sciences Middle Aged Obesity - surgery Obesity, Morbid - surgery Postoperative Complications - etiology Postoperative Complications - surgery Prospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system |
| title | Obesity and laparoscopic repair of ventral hernias |
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