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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Ventral Hernia Management in Obese Patients.
Diana E Peterman1, Jeremy A Warren1
1Department of Surgery, Division of Minimal Access & Bariatric Surgery, Prisma Health-Upstate, University of South Carolina School of Medicine Greenville, 701 Grove Road, ST 3, Greenville, SC 29607, USA.
The Surgical Clinics of North America
|March 21, 2021
Summary
Obese patients with ventral hernias face challenging surgical repair. Surgeons must balance hernia repair risks against patient symptoms and weight loss challenges.
Area of Science:
- General Surgery
- Obesity Medicine
Background:
- Ventral and incisional hernias present significant challenges in obese patients.
- Suboptimal outcomes are frequently reported for elective hernia repair in this demographic.
Purpose of the Study:
- To discuss the complexities of ventral and incisional hernia repair in obese individuals.
- To highlight the considerations for surgeons managing these challenging cases.
Main Methods:
- Review of current literature and clinical considerations for hernia repair in obese patients.
- Discussion of preoperative weight loss strategies and their limitations.
Main Results:
- Preoperative weight loss is ideal but not always feasible due to various patient-specific factors.
- Surgeons must weigh the risks of elective repair against potential complications and emergency repair risks.
Conclusions:
- Careful consideration of patient symptoms, weight loss potential, and emergency repair risks is crucial.
- Tailored surgical strategies are necessary for optimizing outcomes in obese patients with ventral hernias.
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