ReviewSurgical endoscopy2019
Concomitant ventral hernia repair and bariatric surgery: a retrospective analysis from a UK-based bariatric center.
Review in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Staged versus concurrent ventral hernia repair with metabolic bariatric surgery: a systematic review and meta-analysis of comparative studies.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Emergency laparoscopic "hybrid" intraperitoneal on-lay mesh (IPOM +) repair of incarcerated umbilical hernia in patient with BMI 62 and small bowel obstruction; a case based review.Irish journal of medical science · 2026Review
- Concomitant bariatric surgery and hernia repair: A Data-Driven answer to a longstanding surgical dilemma.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Outcomes of ventral hernia repair in patients of severe obesity: An experience from a tertiary care centre.Journal of minimal access surgery · 2025Article
- Scientific Evidence for the Updated Guidelines on Indications for Metabolic and Bariatric Surgery (IFSO/ASMBS).Obesity surgery · 2024Article
- Global 30-Day Morbidity and Mortality of Primary Bariatric Surgery Combined with Another Procedure: The BLEND Study.Obesity surgery · 2024Observational
- Subcutaneous fat thickness predicts postoperative seroma following laparoscopic total extra-peritoneal hernioplasty.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Management of abdominal wall hernias in patients with severe obesity.Surgical endoscopy · 2023Review
- Body Mass Index Within Multifactor Predictors of Ventral Hernia Recurrence: A Retrospective Cohort Study.Cureus · 2023Article
- Simultaneous Complex Incisional Hernia Repair and Bariatric Surgery for Obese Patients: a Case Series of a Single-Center Early Experience.Journal of metabolic and bariatric surgery · 2021Article
- Ventral Hernia Repair and Obesity: Results from a Nationwide Register Study in France According to the Timeframes of Hernia Repair and Bariatric Surgery.Obesity surgery · 2021Article
- Management of ventral hernia in patients with BMI > 30 Kg/mHernia : the journal of hernias and abdominal wall surgery · 2021Article
- Incarcerated Umbilical Hernia: A Rare Etiology of Early Bowel Obstruction After Roux-en-Y Gastric Bypass-A Case Report.Obesity surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVentral hernias (VH) are frequently encountered in patients with morbid obesity. Concomitant ventral hernia repair (VHR) and bariatric surgery (BS) is practiced but still controversial. Wound-related complications (seroma, hematoma, wound infection) and hernia recurrence rates are possible inhibitor factors. We aimed to estimate the rate of complications from concomitant BS (laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy) and VHR and identify patient subgroups at higher risk of complications from synchronous repair.
methodsA retrospective analysis of successive 106 patients who underwent concomitant BS + VHR at our institute (09/2007 to 09/2015) was performed using data from patients' record. Parameters considered were: type of repair (open/laparoscopic and primary closure/mesh), size and type of hernia (< 5 cm, 5-10 cm, > 10 cm and primary/incisional), patient gender and comorbidities.
resultsOne hundred and six patients underwent concomitant BS and VHR. Fifty-nine had laparoscopic VHR and 47 open. Hernias recurred in 5 (8.47%) laparoscopic and 7 (14.89%) open VHR. Wound-related complications were common in open (15%) vs. laparoscopic (11.7%) VHR. Patients with VH recurrence included 8 (75%) with defects > 5 cm, 10 (83%) female, and all had BMI > 45. Six patients had wound infection, 5 of which had type 2 diabetes mellitus. Six patients had hematoma, 5 of which underwent mesh repairs. Finally, four patients developed seroma (BMI > 48, defects > 5 cm, laparoscopic mesh repair).
conclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection.
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