ArticleSurgical endoscopy2021
Impact of Body Mass Index (BMI) on perioperative outcomes following minimally invasive retromuscular abdominal wall reconstruction: a comparative analysis.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Hybrid operation technique for incisional hernia repair: a systematic review and meta-analysis of intra- and postoperative complications.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Robotic extended-view totally extraperitoneal approach for ventral and incisional hernia repair: single-center experience with 2-year follow-up.Surgical endoscopy · 2026Article
- Impact of body mass index on outcomes after robotic transversus abdominis release in patients without obesity, with class I obesity, and with class II obesity: a multicenter study.Surgical endoscopy · 2026Article
- Totally Extraperitoneal Approach with Preperitoneal Repair (PeTEP) for the Treatment of the Abdominal Wall Defects in Patients with Severe Obesity: A New Technique for a Long Standing Problem.Obesity surgery · 2026Article
- Review
- Preoperative optimization in hernia surgery: are we really helping or are we just stalling?Hernia : the journal of hernias and abdominal wall surgery · 2024Review
- Outcomes of Robotic Transabdominal Retromuscular Repair: 3-Year Follow-up.Journal of abdominal wall surgery : JAWS · 2024Article
- Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair.Surgical endoscopy · 2023Article
- Body Mass Index impact on Extended Total Extraperitoneal Ventral Hernia Repair: a comparative study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- A comparison of outcomes between class-II and class-III obese patients undergoing robotic ventral hernia repair: a multicenter study.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Risk of diaphragmatic hernia in patients with spontaneous pneumothorax.BMC pulmonary medicine · 2022Article
- Hard to Swallow Results.Dysphagia · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMorbidity and recurrence rates are higher in obese patients undergoing open abdominal wall reconstruction (AWR). Historically, body mass index (BMI) ≥ 40 has served as a relative contraindication to open AWR. The purpose of this study is to evaluate the impact of minimally invasive surgery (MIS) on outcomes after AWR for higher versus lower BMI patients.
methodsA retrospective review of a prospectively maintained database was conducted of all patients who underwent MIS AWR between September 2015 and April 2019 at our institution. Patients were subdivided into two groups based on their BMI: BMI ≤ 35 kg/m
results461 patients were identified and divided into two groups: BMI ≤ 35 (n = 310) and BMI > 35 (n = 151). The two groups were similar in age (BMI ≤ 35: 56.3 ± 14.1 years vs. BMI > 35: 54.4 ± 11.9, p = .154). BMI > 35 group had more patients with ASA score of 3 (81% vs. 32%, p < .001) and comorbid conditions such as hypertension (70% vs. 45%, p < .001), diabetes mellitus (32% vs. 15%, p < .001), and history of recurrent abdominal wall hernia (34% vs. 23%, p = .008). BMI > 35 group underwent a robotic approach at higher rates (74% vs. 45%, p < .001). Patients who underwent a Rives-Stoppa repair from the higher BMI cohort also had a larger defect size (5.6 ± 2.4 cm vs. 6.7 ± 2.4 cm, p = .004). However, there were no differences in defect size in patients who underwent a transversus abdominus release (BMI ≤ 35: 9.7 ± 4.9 cm vs. BMI > 35: 11.1 ± 4.6 cm, p = .069). Both groups benefited similarly from a short length of stay, similar hospital charges, and lower postoperative complications.
conclusionInitial findings of our data support the benefits of elective MIS approach to AWR for patients with higher BMI. These patients derive similar benefits, such as faster recovery with low recurrence rates, when compared to lower BMI patients, while avoiding preoperative hernia incarceration, postoperative wound complications, and hernia recurrences. Future follow-up is required to establish long-term perioperative and quality of life outcomes in this patient cohort.
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