ArticleSurgical endoscopy2025
Risks and benefits of delaying hernia repair in patients with obesity: a retrospective case series of emergent hernia cases.
Article in Surgical endoscopy, 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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Authors and funding
6 authors.
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Abstract
backgroundEmergent abdominal wall hernia repair is associated with higher rates of morbidity and mortality compared to elective repair. Patients with significant medical comorbidities, such as morbid obesity, experience higher rates of surgical site complications and hernia recurrence. Experts recommend pre-operative optimization to minimize complication risks; however, few guidelines exist for balancing optimization with the risks of a potential emergent operation. We sought to delineate the outcomes of patients who underwent urgent hernia repair at our center with specific attention to those who attempted pre-operative optimization.
methodsWe performed a retrospective chart review of all patients who required emergent or urgent abdominal wall hernia repair with the division of Minimally Invasive Surgery, as identified through emergent or urgent case requests submitted at our tertiary academic medical center from 2018 to 2023. We utilized descriptive statistics to characterize patient demographics, hernia characteristics, prior medical history, operative details, and post-operative outcomes.
resultsOf the 58 total patients enrolled, we noted multiple operative risk factors including advanced age (62 years ± 14.5), high BMI (32.9 kg/m
conclusionThe timing of an abdominal wall hernia repair remains challenging, particularly in patients with morbid obesity. For these high-risk patients, recognizing decreasing gains in pre-operative weight optimization is a key for avoiding unproductive delays of definitive repair.
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