Repair of ventral hernias in morbidly obese patients undergoing laparoscopic gastric bypass should not be deferred

被引：91

作者：

Eid G.M. ^{[1
,2
]}

Mattar S.G. ^{[1
,2
]}

Hamad G. ^{[1
,2
]}

Cottam D.R. ^{[1
,2
]}

Lord J.L. ^{[1
,2
]}

Watson A. ^{[1
,2
]}

Dallal R.M. ^{[1
,2
]}

Schauer P.R. ^{[1
,2
]}

机构：

[1] Minimally Invasive Center, Department of Surgery,, University of Pittsburgh Medical Center, Suite 5500,, Magee-Women's Hospital,, Pittsburgh, PA 15213,, 300 Halket Street,

[2] Veterans Administration Pittsburgh Healthcare System,, University Drive,, PA 15240,, Pittsburgh,

来源：

Surgical Endoscopy And Other Interventional Techniques | 2004年 / 18卷 / 2期

关键词：

Laparoscopic gastric bypass; Morbid obesity; Small intestine submucosa; Ventral hernias;

D O I：

10.1007/s00464-003-8915-1

中图分类号：

学科分类号：

摘要：

Background: There is no consensus regarding the optimal treatment of ventral hernias in patients who present for weight loss surgery. Methods: 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 LRYGB 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 LRYGB, as deferment may result in small bowel obstruction.

引用

页码：207 / 210

页数：3

共 14 条

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