Evidence map›Paper›PMID 40346975›Full record

ArticleJournal of minimal access surgery2025

Outcomes of ventral hernia repair in patients of severe obesity: An experience from a tertiary care centre.

Sonali Mittal, Arun Kumar, Jagadeep Ajmera, Surabhi Vyas, Sandeep Aggarwal

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Article in Journal of minimal access surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Sonali MittalDepartment of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Arun KumarDepartment of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Jagadeep AjmeraDepartment of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Surabhi VyasDepartment of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Sandeep AggarwalDepartment of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVentral hernia (VH) in patients with severe obesity poses a surgical challenge during bariatric surgery (BS). There is conflicting evidence regarding the optimal timing to perform a definitive VH repair (VHR). We present our experience in managing severely obese patients with VH. PATIENTS AND

methodsSixty-seven severely obese patients with VH underwent a cross-sectional analysis of outcomes after BS and VHR. Outcomes were presented in terms of patients' demographics, BS performed, timing of VHR and recurrence rates.

resultsSixty-seven patients were included in the study. Seven patients who presented with complicated hernia underwent a concomitant BS and VHR (Group 1) and the rest with uncomplicated hernia underwent a staged VHR (Group 2). The mean age of presentation was 45.2 (±11.5) years, with a female preponderance (male:female = 17.9:82.1). The mean defect size was 3.4 (1.6) cm. Majority of Group 1 patients underwent an anatomical repair while Group 2 patients underwent a mesh hernioplasty. The patients in Group 1 had a higher body mass index at the time of VHR (47.4 ± 12.7 vs. 33.7 ± 4.21 kg/m 2 ). The rate of recurrence was also higher in Group 1 compared to Group 2 (42.9% vs. 3.3%) at a mean duration of 10.3 and 12 months, respectively.

conclusionVHR in patients with severe obesity is challenging. The staged approach appears to be a safer option with acceptable recurrence rates compared to the concomitant approach. However, an individualised approach based on patient presentation should be followed for VHR in such patients.

Indexed as

Bariatric surgeryconcomitant hernia repairsevere obesitystaged hernia repairventral hernia

Identifiers

PMID40346975
PMCPMC12327775

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