ArticleHernia : the journal of hernias and abdominal wall surgery2025
Does (patient) size matter? the impact of body mass index on outcomes for patients undergoing minimally invasive transversus abdominis release.
Article in Hernia : the journal of hernias and abdominal wall 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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Abstract
backgroundObesity increases the rate of postoperative wound complications for patients undergoing open abdominal wall reconstruction (AWR) and predisposes patients to hernia recurrence. While minimally invasive surgery (MIS) techniques minimize wound morbidity in obese patients, the exact degree to which this occurs remains unknown.
methodsA prospectively maintained single-institution hernia database was queried for patients undergoing robotic-assisted (rTAR) from 2018 to 2024. Basic demographics, operative characteristics and postoperative outcomes were reviewed. A univariate analysis was performed to compare outcomes for patients with a BMI < 35 kg/m
resultsThere were 128 patients: 72 with low BMI and 56 with high BMI. Mean BMI for each group was 28.2±3.6 and 41.5±4.6 kg/m
conclusionDespite having more complex hernias, the high and low BMI groups had comparable rates of 30-day SSI and short-term hernia recurrence. rTAR appears to be a safe and effective operation for patients with a BMI ≥ 35 kg/m
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