Simultaneous Complex Incisional Hernia Repair and Panniculectomy

Mario Salazar, MD, Aliyah Kanji, MD, Dean J Mikami, MD

The Ohio State University Wexner Medical Center

INTRODUCTION

Complex ventral hernias are a challenging surgical problem. Particularly in the obese population, excess skin and soft tissue often require further surgical intervention, usually with panniculectomy. Because of the general increased risks in managing obese patients intra and postoperatively, the consideration for simultaneous repair of large or complex ventral hernias and panniculectomy has recently gained attention.

METHODS AND PROCEDURES

We retrospectively reviewed the medical records of 6 patients who underwent laparoscopic repair of ventral hernia with component separation technique and simultaneous panniculectomy. All procedures were performed by a single surgeon at our institution over a 2 year period. Patient age, BMI, co-morbidities and operative data were recorded, and primary outcome measured was complications at 30 days.

RESULTS

Six patients underwent laparoscopic ventral hernia repair with component separation technique and simultaneous panniculectomy. Mean patient age was 53.3 years (27-66), five of the six patients were female. Mean BMI was 36.3kg/m2 (29-44.6) preoperatively. All patients had hypertension, half had diabetes mellitus and none of the patients were smokers. Mean operative time was 148 minutes (55-262) and post operative length of stay was a median of 2.5 days. Post operative complications included one readmission for gastrointestinal bleed and subsequent superficial wound dehiscence and one other patient who had a wound infection.

CONCLUSION

Laparoscopic ventral hernia repair with component separation technique and simultaneous panniculectomy is a safe combined procedure with low complication rate. Long term follow-up studies are required to determine the durability of repair and rate of recurrence.


Session: Poster Presentation

Program Number: P308

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