Elective abdominal wall hernia repair surgical mortality—A systematic review of the literature and peer review of mortality in Australia

2021 ◽  
Author(s):  
Paul Patiniott ◽  
Jessica Reid ◽  
Ryan T. Maloney ◽  
Alex Karatassas ◽  
Guy Maddern
Keyword(s):  
Systematic Review ◽  
Hernia Repair ◽  
Peer Review ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Surgical Mortality ◽  
Review Of The Literature ◽  
Abdominal Wall Hernia Repair

Systematic review and meta-analysis of risk factors for Mesh infection following Abdominal Wall Hernia Repair Surgery

2021 ◽  
Author(s):  
Andrea Carolina Quiroga-Centeno ◽  
Carlos Augusto Quiroga-Centeno ◽  
Silvia Guerrero-Macías ◽  
Orlando Navas-Quintero ◽  
Sergio Alejandro Gómez-Ochoa
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Meta Analysis ◽  
Abdominal Wall Hernia ◽  
Mesh Infection ◽  
Abdominal Wall Hernia Repair

scholarly journals Commentary: Evidence for Replacement of an Infected Synthetic by a Biological Mesh in Abdominal Wall Hernia Repair

2017 ◽  
Vol 4 ◽  
Author(s):  
Ekaterini Christina Tampaki ◽  
Athanasios Tampakis ◽  
Konstantinos Kontzoglou ◽  
Gregory Kouraklis
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Biological Mesh ◽  
Abdominal Wall Hernia Repair

Impact of a Body Mass Index Threshold on Abdominal Wall Hernia Repair at a Safety-Net Hospital

2021 ◽  
pp. 000313482110475
Author(s):  
Tayler J James ◽  
Lauren Hawley ◽  
Li Ding ◽  
Evan T Alicuben ◽  
Kamran Samakar
Keyword(s):  
Body Mass Index ◽  
Hernia Repair ◽  
Abdominal Wall ◽  
Body Mass ◽  
Abdominal Wall Hernia ◽  
Safety Net ◽  
Obese Patients ◽  
Optimization Strategy ◽  
Elective Group ◽  
Abdominal Wall Hernia Repair

Background Body mass index (BMI) thresholds are utilized as a preoperative optimization strategy for obese patients prior to elective abdominal wall hernia repair. The objectives of this study were to determine the proportion of patients at our institution who ultimately underwent hernia repair after initial deferral due to BMI and to evaluate outcomes of those who required emergent repair during the deferral period. Methods A retrospective review was performed from 2016 to 2018 to identify all patients with abdominal wall hernias who were deferred surgery due to BMI. Patient characteristics, hernia type, change in BMI, progression to surgery, acuity of surgery (elective or emergent), and postoperative outcomes were examined. Results 200 patients were deferred hernia repair due to BMI. Of these, 150 (75%) did not undergo repair over a mean period of 27 months. The remaining 50 patients ultimately underwent repair, 36 of which (72%) were elective and 14 (28%) emergent. The mean initial BMI of the elective group was 35.3 ± 1.8, compared to 39.1 ± 5.3 in the no surgery group and 40.6 ± 8.2 in the emergent group ( P < .01). While the elective group lost weight before surgery, the other groups did not. Patients who required emergent surgery had worse outcomes than those repaired electively. Conclusions Preoperative weight loss is unsuccessful in most obese patients presenting for abdominal wall hernia repair at our institution. Patients who required emergent hernia repair had worse outcomes than those who underwent elective repair. Our institution’s BMI threshold is a failed optimization strategy that needs to be reconsidered.

Sign in / Sign up

Export Citation Format

Share Document