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Related Concept Videos

Obesity01:24

Obesity

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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Hypodermis01:02

Hypodermis

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The hypodermis (the subcutaneous layer or superficial fascia) is present directly below the dermis. It connects the skin to the underlying fascia (fibrous tissue) of the bones and muscles. It is not strictly a part of the skin, although the border between the hypodermis and dermis can be difficult to distinguish. The hypodermis consists of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of fat storage and provides insulation and cushioning for...
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Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Muscles of the Abdomen01:21

Muscles of the Abdomen

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The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
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Bulimia Nervosa01:30

Bulimia Nervosa

260
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
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Abdominal Aorta01:25

Abdominal Aorta

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Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
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Related Experiment Video

Updated: Oct 19, 2025

Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
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Excess Body Weight and Abdominal Hernia.

Ulrich A Dietz1, Omar Yusef Kudsi2, Fahri Gokcal2

  • 1Department of Visceral, Vascular and Thoracic Surgery, Cantonal Hospital Olten (soH), Olten, Switzerland.

Visceral Medicine
|September 20, 2021
PubMed
Summary

Obese patients with symptomatic ventral hernias benefit from an interdisciplinary approach. Weight loss surgery before hernia repair can improve outcomes, and robotic surgery offers advantages for mesh placement in obese patients.

Keywords:
Bariatric surgeryDeferred hernia repairObesityRobotic hernia repairVentral hernia

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Area of Science:

  • Surgical Management
  • Obesity Medicine
  • Hernia Repair

Background:

  • Obesity significantly increases the incidence of symptomatic ventral hernias.
  • High BMI in obese patients elevates risks of perioperative complications and hernia recurrence.
  • Managing symptomatic hernias in obese patients presents a surgical challenge.

Purpose of the Study:

  • To review the challenges of managing ventral hernias in obese patients.
  • To discuss interdisciplinary management strategies, including bariatric surgery and advanced surgical techniques.
  • To evaluate the benefits of robotic-assisted hernia repair in this patient population.

Main Methods:

  • Review of current literature on hernia repair in obese patients.
  • Discussion of interdisciplinary approaches involving bariatric surgery and hernia repair.
  • Analysis of minimally invasive versus open surgical techniques, including laparoscopy and robotic surgery.

Main Results:

  • Bariatric surgery prior to hernia repair can lead to significant weight reduction (25-30%) and potentially better outcomes.
  • Minimally invasive procedures generally have lower complication rates than open surgery.
  • Laparoscopic hernia repair in obese patients is challenging, with limitations on mesh placement.

Conclusions:

  • An interdisciplinary approach is crucial for managing obese patients with hernias.
  • Weight loss procedures may be advantageous before elective hernia repair.
  • Robotic hernia surgery offers benefits, including versatile extraperitoneal mesh placement, for obese patients, potentially reducing morbidity.