• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Ventral Hernia at the Time of Laparoscopic Gastric Bypass Surgery: Should It Be Repaired?

Isabelle Raiche, MD FRCSC, Fatima Haggar, MPH, Joseph Mamazza, MD FRCSC, Husein Moloo, MD MSc FRCSC, Eric C Poulin, MD MSc FRCS C, Guillaume Martel, MD FRCSC, Jean-denis Yelle, BA MD FRCSC FACS. The Minimally Invasive Surgery Research Group, The Ottawa Hospital, University of Ottawa

 

Objective: Despite the relatively high prevalence of ventral hernias in the morbidly obese population, there is no clear consensus regarding the optimal treatment for patients with ventral hernias who present for gastric bypass. The objective of this study was to conduct a systematic review of the current evidence to determine the most appropriate surgical management of patients found to have a ventral hernia at the time of a laparoscopic gastric bypass (LGB).

Method: Medline, Embase and Cochrane databases were searched from January 1995 to September 2010. The search strategy, prepared with experienced systematic reviewers and a librarian, included the following MESH terms: ventral hernia, abdominal hernia, laparoscopy, minimally invasive surgery, bariatric surgery, Roux en Y, and gastric bypass. The reference lists of pertinent articles were manually reviewed to ensure that no published data was missed. Outcomes of interest included post-operative bowel obstructions secondary to ventral hernia, recurrence of ventral hernia and mesh infection. Data pertaining to relevant articles were abstracted and synthesized according to accepted methods.

Results: The search identified 534 articles. After duplicate records and irrelevant studies were removed, 83 potentially relevant articles were reviewed (4 systematic reviews, 3 randomized controlled trials, 59 observational studies, 17 narrative reviews). After exclusion of reviews, case reports and any study in which fewer than 50% of patients underwent laparoscopic gastric bypass, 3 retrospective articles, with a total of 123 patients reporting on the management of ventral hernias at the time of LGB were included. Eight percent of patients undergoing LGB presented with a ventral hernia. Three management strategies were reported: deferred treatment of the hernia, primary repair or repair with biological or synthetic mesh. Up to 35.7% of patients in whom the treatment was deferred presented with SBO within 150 days. Recurrence after primary repair of the hernia varied from 22-100%. No recurrence was found in the group using biologic mesh after a follow-up of 13 months. In the group using synthetic mesh, the recurrence varied from 0-9% with a mean follow-up of 14 months. No mesh infection was reported.

Conclusion: Ventral hernia in patients considered for LGB is a complex problem. There is a paucity of high level evidence to guide clinical decisions. The available information suggests that mesh repair of the hernia at the time of bypass may be a safe and appropriate treatment option for preventing an obstruction in the perioperative period.
 


Session Number: Poster – Poster Presentations
Program Number: P466
View Poster

773

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
sagesweb@sages.org
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons