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首页> 外文期刊>Surgical Endoscopy >Comparison of early outcomes for laparoscopic ventral hernia repair between nonobese and morbidly obese patient populations.
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Comparison of early outcomes for laparoscopic ventral hernia repair between nonobese and morbidly obese patient populations.

机译：非肥胖和病态肥胖患者人群中腹腔镜腹疝修补术的早期结果比较。

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BACKGROUND: Obesity predisposes to incisional herniation and increased the incidence of recurrence after conventional open repair. Only sparse data on the safety and security of laparoscopic ventral hernia repair (LVHR) for morbidly obese patients are available. This study compared the incidence of perioperative complications and early recurrence after LVHR between morbidly obese and non-morbidly obese patients. METHODS: The case records of consecutive patients who underwent LVHR between December 2002 and August 2007 were reviewed. Patients with a body mass index (BMI) lower than 35 kg/m2 were compared with morbidly obesity patients who had a BMI of 35 kg/m2 or higher. RESULTS: The study included 168 patients (87 men) with a median age of 55 years (range, 24-92 years). Two conversions to open repair (1.2%) were performed, both for non-morbidly obese patients. Of the 168 patients, 42 (25%) were morbidly obese (BMI range, 35.0-58.0 kg/m2) and 126 (75%) were non-morbidly obese (BMI range, 15.5-34.9 kg/m2). The groups showed no significant differences in age, gender, number or size of fascial defects, operative time, length of hospital stay, or incidence of perioperative complications. At a median follow-up period of 19 months (range, 6-62 months), 20 patients (12%) had recurrent hernias. The incidence of recurrence was significantly associated with the size of the fascial defect and the size of the mesh, but not with morbid obesity. CONCLUSION: No significant difference in the incidence of perioperative complications or recurrence after LVHR was observed between the morbidly obese patients and the non-morbidly obese patients.
机译：背景：肥胖易导致切口疝，并增加了常规开放修补术后复发的发生率。只有病态肥胖患者的腹腔镜腹侧疝修补术（LVHR）的安全性和安全性的稀疏数据。这项研究比较了病态肥胖和非病态肥胖患者围手术期并发症的发生率和LVHR术后早期复发。方法：回顾性分析了2002年12月至2007年8月间连续接受LVHR的患者的病例记录。将体重指数（BMI）低于35 kg / m2的患者与BMI为35 kg / m2或更高的病态肥胖患者进行比较。结果：该研究包括168名患者（87名男性），中位年龄为55岁（范围为24-92岁）。对非病态肥胖患者进行了两次转换为开放式修复（1.2％）的操作。在168名患者中，有42名（25％）为病态肥胖（BMI范围，35.0-58.0 kg / m2），有126名（75％）为非病态肥胖（BMI范围，15.5-34.9 kg / m2）。这些组在年龄，性别，筋膜缺损的数量或大小，手术时间，住院时间或围手术期并发症发生率方面无显着差异。在19个月的中位随访期（6-62个月）中，有20例患者（12％）患有复发性疝气。复发的发生率与筋膜缺损的大小和网孔的大小显着相关，但与病态肥胖无关。结论：病态肥胖患者和非病态肥胖患者的围手术期并发症或LVHR复发的发生率无显着差异。

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