Outcomes of Open Retro-Rectus Hernia Repair With Mesh in Obesity Class III. Issue 9 (September 2020)
- Record Type:
- Journal Article
- Title:
- Outcomes of Open Retro-Rectus Hernia Repair With Mesh in Obesity Class III. Issue 9 (September 2020)
- Main Title:
- Outcomes of Open Retro-Rectus Hernia Repair With Mesh in Obesity Class III
- Authors:
- Martinez, Manuel
Dove, James
Blansfield, Joseph
Widom, Kenneth
Semian, John
Alaparthi, Mohanbabu
Factor, Matthew - Abstract:
- Background: Abdominal wall hernias continue to be one of the most common general surgery pathologies. Patients with an elevated body mass index (BMI) are routinely counseled about weight loss before elective repair. However, a definitive BMI "cutoff" has not been established. Here, we report our experience with open retro-rectus hernia repair (ORRHR) with mesh in patients with a BMI over 40 kg/m 2, and we attempt to determine if a BMI "cutoff" can be established. Methods: Data from patients undergoing ORRHR with mesh at Geisinger Medical Center from January 1, 2014, to December 31, 2018, were collected and retrospectively analyzed. Results: Cohorts were composed of 2 groups, BMI ≥ 40 kg/m 2 (n = 117) and BMI < 40 kg/m 2 (n = 90). All patients underwent an elective ORRHR with mesh. Operative time increased significantly as the patient's BMI increased ( P ≤ .01). Patients in the higher BMI group had a significantly higher rate of surgical site infections (SSIs) (8.55% vs. 1.1%, P = .018). Higher BMI did not translate to a higher recurrence rate. Conclusions: Patients undergoing ORRHR with mesh who had a BMI over 40 kg/m 2 had an increased risk of SSI and longer operative time, possibly suggesting a potential association other than SSI and BMI. More studies are needed to determine if BMI is indeed correlated with hernia recurrence and if BMI should influence the decision to undergo repair.
- Is Part Of:
- American surgeon. Volume 86:Issue 9(2020)
- Journal:
- American surgeon
- Issue:
- Volume 86:Issue 9(2020)
- Issue Display:
- Volume 86, Issue 9 (2020)
- Year:
- 2020
- Volume:
- 86
- Issue:
- 9
- Issue Sort Value:
- 2020-0086-0009-0000
- Page Start:
- 1163
- Page End:
- 1168
- Publication Date:
- 2020-09
- Subjects:
- abdominal wall hernias -- retro-rectus hernia repair -- obesity
Surgery -- Periodicals
Surgery -- United States -- Periodicals
617.0973 - Journal URLs:
- https://journals.sagepub.com/home/asua ↗
http://www.sagepublications.com/ ↗ - DOI:
- 10.1177/0003134820945246 ↗
- Languages:
- English
- ISSNs:
- 0003-1348
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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- 14037.xml