Repair of ventral hernias in morbidly obese patients undergoing laparoscopic gastric bypass should not be deferred

G. M. Eid, S. G. Mattar, G. Hamad, D. R. Cottam, J. L. Lord, A. Watson, R. M. Dallal, P. R. Schauer

Research output: Contribution to journalReview article

82 Scopus citations

Abstract

Background: There is no consensus regarding the optimal treatment of ventral hernias in patients who present for weight loss surgery. Methods: Medical records of consecutive morbidly obese patients who underwent laparoscopic Roux-en-Y (LRYGB) gastric bypass with a secondary diagnosis of ventral hernia were reviewed. Only patients who were beyond 6 months of follow-up were included. Results: The study population was 85 patients. There were three groups of patients according to the method of repair: primary repair (59), small intestine submucosa (SIS) (12), and deferred treatment (14). Average follow-up was 26 months. There was a 22% recurrence in the primary repair group. There were no recurrences in the SIS group. Five of the patients in the deferred treatment group (37.5%) presented with small bowel obstruction due to incarceration. Conclusion: Biomaterial mesh (SIS) repair of ventral hernias concomitant with LRYGB resulted in the most favorable outcome albeit having short follow-up. Concomitant primary repair is associated with a high rate of recurrence. All incarcerated ventral hernias should be repaired concomitant with LRYGB, as deferment may result in small bowel obstruction.

Original languageEnglish (US)
Pages (from-to)207-210
Number of pages4
JournalSurgical Endoscopy and Other Interventional Techniques
Volume18
Issue number2
DOIs
StatePublished - Feb 2004

Keywords

  • Laparoscopic gastric bypass
  • Morbid obesity
  • Small intestine submucosa
  • Ventral hernias

ASJC Scopus subject areas

  • Surgery

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