Should panniculectomy be applied with ventral hernia repair in a single session?
Öz
simultaneous panniculectomy applications in ventral hernia repair increases postoperative morbidity rates.
Materials and Methods: The study was carried out retrospectively between January 2018 and December 2020. The patients were evaluated in terms of sex, age, body mass index, accompanying diseases, hernia type and size, abdominal surgery history, ASA value (American Society of Anesthesiology), postoperative complications, hospitalization, and follow-up durations. Post-operative complications were evaluated according to the Clavien-Dindo classification.
Results: It was determined that 14 patients underwent simultaneous panniculectomy and ventral hernia repair (Group 1), while 27 patients underwent sole ventral hernia repair (Group 2). In Group 1, the hernia defect area was approximately 6.25-fold higher. In patients with a panniculectomy, hospitalization time was significantly longer. The median follow-up period was 8.5 months (2-14) in Group 1, and 14 months in Group 2 (3-36). In multiple linear regression analyses, only the effect hernia defect area was significant on the hospitalization time. There were no significant differences between the groups in terms of complications and hernia recurrence.
Conclusion: Simultaneous panniculectomy applications in ventral hernia repairs do not increase the rate of complications and hernia recurence. A simultaneous panniculectomy application can be applied safely to patients who want to “eliminate” both of their problems in a single session.
Anahtar Kelimeler
Ventral hernia, incisional hernia, umbilical hernia, epigastric hernia, panniculectomy
Kaynakça
- Schlosser KA, Arnold MR, Otero J, Prasad T, Lincourt A, Colavita PD, et al. Deciding on optimal approach for ventral hernia repair: laparoscopic or open. Journal of the American College of Surgeons. 2019;228(1):54-65.
- Olavarria OA, Bernardi K, Shah SK, Wilson TD, Wei S, Pedroza C, et al. Robotic versus laparoscopic ventral hernia repair: multicentre, blinded randomized controlled trial. BMJ (Clinical research ed). 2020;370:m2457.
- Ozkan H, Acar A, Gökce AH. Shall we use a mesh in every patient undergoing repair surgery for umbilical hernia? a prospective study. Cukurova Medical Journal 2019;44(1):169-75.
- Cooper JM, Paige KT, Beshlian KM, Downey DL, Thirlby RC. Abdominal panniculectomies: high patient satisfaction despite significant complication rates. Annals of plastic surgery. 2008;61(2):188-96.
- Zemlyak AY, Colavita PD, El Djouzi S, Walters AL, Hammond L, Hammond B, et al. Comparative study of wound complications: isolated panniculectomy versus panniculectomy combined with ventral hernia repair. journal of surgical research. 2012;177(2):387-91.
- Fischer JP, Basta MN, Wink JD, Wes AM, Kovach SJ. Optimizing patient selection in ventral hernia repair with concurrent panniculectomy: an analysis of 1974 patients from the ACS-NSQIP datasets. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2014;67(11):1532-40.
- Saxe A, Schwartz S, Gallardo L, Yassa E, Alghanem A. Simultaneous panniculectomy and ventral hernia repair following weight reduction after gastric bypass surgery: is it safe? Obesity surgery. 2008;18(2):192-5.
- Warren JA, Epps M, Debrux C, Fowler III JL, Ewing JA, Cobb WS, et al. Surgical site occurrences of simultaneous panniculectomy and incisional hernia repair. The American Surgeon. 2015;81(8):764-9.
- Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, et al. Classification of primary and incisional abdominal wall hernias. Hernia : the journal of hernias and abdominal wall surgery. 2009;13(4):407-14.
- Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Annals of surgery. 2004;240(2):205-13.
