Bariatric Surgery Improving Surgical Outcomes, Our Experience And Future Direction
Posted Date: Dec 5, 2019
- Investigator: Michael Johnston
- Specialties: Cardiovascular Disease, Neurosurgery, Pain Medicine
- Type of Study: Observational/Survey
Approximately 40% of the population is considered obese, and the number of patients undergoing bariatric surgeries for weight reductions is increasing. In morbidly obese patients undergoing surgery the incidence of umbilical, incisional, and ventral hernias are also increased. Datta et al reported an 8% incidence of ventral hernia found in patients undergoing bariatric surgery at the time of surgery.1 Management of patients with ventral hernias that are obese or morbidly obese is a controversial topic in surgery that has varied opinions about management. In the unique situation for patients undergoing weight loss, the question is at the time of bariatric surgery should a concomitant ventral hernia repair be performed or delayed until the patient has lost a significant amount of weight. Wikiel et al. proposed an algorithm that divides the management of these patients based on favorable/unfavorable anatomy and symptomatic/asymptomatic presentation. The aim of our retrospective study is to evaluate patients across the UC Health system that underwent bariatric surgery and concurrent ventral hernia to compare outcomes, cost, and postoperative complications. A significant amount of obese and morbidly obese patients have concurrent surgical needs i.e. knee replacement, hip replacement, pseudotumor cerebri, etc. Within the medical literature, bariatric surgery has been proven to improve outcomes across diabetes, hypertension, cardiovascular disease, etc. Within the surgical field though, there hasn’t been as robust research.3-5 In addition to looking at the outcomes of patients with concurrent ventral hernia, we will look at outcomes across multiple surgical interventions as previously mentioned.
Criteria:
Null
Keywords:
Bariatric Surgery, Surgical Outcomes, Weight Loss
For More Information:
Mike E Johnston
7659143235
johnstm3@ucmail.uc.edu