Faculty Collaboration Database

Management of abdominal wall hernias in patients with severe obesity. Surg Endosc 2023 Sep;37(9):6619-6626

Date

07/25/2023

Pubmed ID

37488442

DOI

10.1007/s00464-023-10312-6

Scopus ID

2-s2.0-85165589699 (requires institutional sign-in at Scopus site)   4 Citations

Abstract

Obesity is a risk factor for abdominal wall hernia development and hernia recurrence. The management of these two pathologies is complex and often entwined. Bariatric and ventral hernia surgery require careful consideration of physiologic and technical components for optimal outcomes. In this review, a multidisciplinary group of Society of American Gastrointestinal and Endoscopic Surgeons' bariatric and hernia surgeons present the various weight loss modalities available for the pre-operative optimization of patients with severe obesity and concurrent hernias. The group also details the technical aspects of managing abdominal wall defects during weight loss procedures and suggests the optimal timing of definitive hernia repair after bariatric surgery. Since level one evidence is not available on some of the topics covered by this review, expert opinion was implemented in some instances. Additional high-quality research in this area will allow for better recommendations and therefore treatment strategies for these complex patients.

Author List

Ghanem OM, Orenstein S, Lloyd SJ, Andalib A, Race A, Burt HA, Husain F, Goldblatt M, Kroh M, SAGES Metabolic, Bariatric Surgery Committee, SAGES Hernia Committee

Author

Matthew I. Goldblatt MD Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abdominal Wall
Bariatric Surgery
Hernia, Ventral
Herniorrhaphy
Humans
Obesity
Obesity, Morbid
Surgical Mesh