ArticleSurgical endoscopy2014
Laparoscopic treatment of incisional and primary ventral hernia in morbidly obese patients with a BMI over 35.
Article in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 20 citations in OpenAlex.
- Hernia recurrence after concomitant laparoscopic ventral hernia repair using intraperitoneal biologic mesh: a retrospective analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Are laparoscopic and open ventral hernia repairs truly comparable?: A propensity-matched study in large ventral hernias.Surgical endoscopy · 2021Article
- Propensity score matching analysis of short-term outcomes in robotic ventral hernia repair for patients with a body mass index above and below 35 kg/mHernia : the journal of hernias and abdominal wall surgery · 2021Article
- Laparoscopic ventral hernia repair with intraperitoneal onlay mesh-results from a general surgical unit.Irish journal of medical science · 2019Article
- Risk-adjusted procedure tailoring leads to uniformly low complication rates in ventral and incisional hernia repair: a propensity score analysis and internal validation of classification criteria.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- The Impact of Body Mass Index on Abdominal Wall Reconstruction Outcomes: A Comparative Study.Plastic and reconstructive surgery · 2017Article
- What is the BMI threshold for open ventral hernia repair?Surgical endoscopy · 2017Article
- Postoperative complications as an independent risk factor for recurrence after laparoscopic ventral hernia repair: a prospective study of 417 patients with long-term follow-up.Surgical endoscopy · 2017Article
- Robotic Ventral Hernia Repair and Endoscopic Component Separation: Outcomes.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIncisional and ventral hernias are common surgical indications. Their management is associated with significant complications and recurrences in open surgery (15-25%). Since laparoscopy has become a standard in bariatric surgery, there has been a natural trend to treat obese patients with parietal wall defects laparoscopically. The aim of our study was to evaluate the feasibility and the results of the laparoscopic management of parietal wall defects in patients with a BMI >35. MATERIALS AND
methodsA series of 79 patients were included. Data were acquired prospectively and analyzed retrospectively. The surgical procedure was standardized: 3 ports, mesh type (Parietex™ Composite mesh, Covidien, France), fixation with non-absorbable transfascial sutures, and tackers. Complications were evaluated.
resultsOut of 79 patients (29 men, 50 women), 43 had umbilical and 36 had ventral hernias. Mean age was 52.4 years, and mean BMI was 40.83 kg/m(2). Mean postoperative hospital stay was 2 days. Postoperative pain evaluated by visual analog scale was 2.86. No intraoperative complications or deaths occurred. Seven postoperative complications occurred (8.86%): two parietal wall hematomas treated by radiological embolization, two significant cases of postoperative pain, one postoperative obstruction, one spontaneously resolved respiratory failure, and one early (day 1) parietal wall defect with immediate reoperation. Postoperative seroma rate was 26.58% (21 patients, all of whom were treated conservatively). Postoperative follow-up was 18.10 months (1-84 months), and recurrence rate was 3.8% (3 patients). DISCUSSION: This study confirms the feasibility and safety of the laparoscopic approach for ventral hernias in morbidly obese patients. Recurrence rates (3.8%) appeared lower than the ones observed in the literature (15-25%). Postoperative hemorrhage and port-site hernia are specific complications of this approach. Postoperative hospital stay is low (2 days) as compared to open surgery. Laparoscopic management of parietal wall defects should be considered a standard option in morbidly obese patients.
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