Concomitant Ventral Hernia Repair and Bariatric Surgery: a Systematic Review

被引：0
作者：
Andrea Lazzati
Georges Bou Nassif
Luca Paolino
机构：
[1] Centre Hospitalier Intercommunal de Créteil,Department of General Surgery
[2] Université Paris Descartes,INSERM, UMR_S 1138, Centre de Recherche des Cordeliers
来源：
Obesity Surgery | 2018年 / 28卷
关键词：
Ventral hernia; Bariatric surgery; Synthetic mesh; Biological mesh; Clean-contaminated surgery;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
This study is a review on the management of ventral hernia during bariatric surgery. The main outcomes are the recurrence rate after ventral hernia repair and the incidence of prosthetic infection. Eleven studies were included. Ventral hernias were treated by simple suture (n = 191), synthetic mesh (n = 186), and biological mesh (n = 72). Mean defect size was 18 cm2. Recurrence rate was 25.7% in the suture group, 14.3% in the biomesh group, and 1.1% in the synthetic mesh group (p < 0.05). Mesh infection rate was not different between the groups. No significant difference was observed in 30-day reoperation. Concomitant treatment of small hernia defect is feasible and safe during bariatric surgery. Synthetic mesh provides a significantly lower recurrence rate without any increase in 30-day wound morbidity.
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页码：2949 / 2955
页数：6
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