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Repair of Ventral Hernias and Laparoscopic Gastric Bypass

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Repair of Ventral Hernias in Morbidly Obese Patients Undergoing Laparoscopic Gastric Bypass
Should Not Be Deferred

There is no consensus regarding the optimal treatment of ventral hernias in patients who present for weight loss surgery.

Method

Medical records of consecutive morbidly obese patients who underwent laparoscopic Roux-en-Y (LRYGB) gastric bypass with a secondary diagnosis of ventral hernia were reviewed. Only patients who were beyond 6 months of follow-up were included.

Results

The study population was 85 patients. There were three groups of patients according to the method of repair: primary repair (59), small intestine submucosa (SIS) (12), and deferred treatment (14). Average follow-up was 26 months. There was a 22% recurrence in the primary repair group. There were no recurrences in the SIS group. Five of the patients in the deferred treatment group (37.5%) presented with small bowel obstruction due to incarceration.

Conclusion

Biomaterial mesh (SIS) repair of ventral hernias concomitant with laparoscopic Roux-en-Y bypass resulted in the most favorable outcome albeit having short follow-up. Concomitant primary repair is associated with a high rate of recurrence. All incarcerated ventral hernias should be repaired concomitant with laparoscopic Roux-en-Y, as deferment may result in small bowel obstruction.

Source:
Eid GM, Mattar SG, Hamad G, Cottam DR, Lord JL, Watson A, Dallal RM, Schauer PR, Dallal M. Minimally Invasive Center, Department of Surgery, University of Pittsburgh Medical Center, Suite 5500, Magee-Women's Hospital, 300 Halket Street, Pittsburgh, PA 15213, USA.
National Library of Medicine 2004

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources