IMPACT OF BODY MASS INDEX ON PERIOPERATIVE OUTCOMES FOR COMPLEX HIATUS HERNIA BY VIDEOLAPAROSCOPY

Area of Science:

• Gastroenterology
• Surgical Oncology
• General Surgery

Background:

• The impact of body mass index (BMI) on perioperative complications following hiatal hernia surgery remains a debated topic in surgical literature.
• Understanding these factors is crucial for optimizing surgical planning and patient outcomes.

Purpose of the Study:

• To investigate the influence of BMI on perioperative complications in patients undergoing hiatal hernia repair.
• To identify associated risk factors contributing to these complications.

Main Methods:

• Patients were stratified into two groups based on BMI: Group A (<32 kg/m²) and Group B (≥32 kg/m²).
• Multivariate analysis was employed to determine independent predictors of complications.
• Complications were graded using the Clavien-Dindo classification system.

Main Results:

• A total of 49 patients were analyzed (30 in Group A, 19 in Group B).
• The majority of patients (70%) presented with complex hiatal hernias.
• Overall complication rates were similar between the BMI groups, with Type IV hiatal hernia identified as the sole independent predictor of complications.

Conclusions:

• BMI is not a significant factor influencing perioperative complications in anti-reflux surgery for hiatal hernias.
• Type IV hiatal hernia is a critical independent predictor of perioperative complications, necessitating careful consideration in surgical management.