Repair of Ventral Hernias and Laparoscopic Gastric Bypass
About Hernia Treatment
| Bariatric Surgery information Repair of Ventral Hernias and Laparoscopic Gastric Bypass |
About Hernia Treatment |
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Repair of Ventral Hernias in Morbidly Obese Patients Undergoing Laparoscopic
Gastric Bypass There is no consensus regarding the optimal treatment of ventral hernias in patients who present for weight loss surgery. Method 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 laparoscopic Roux-en-Y bypass 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 laparoscopic Roux-en-Y, as deferment may result in small bowel obstruction. Source: Gastric Bypass Surgery to Reduce Obesity |