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Obesity Surgery

, Volume 28, Issue 9, pp 2949–2955 | Cite as

Concomitant Ventral Hernia Repair and Bariatric Surgery: a Systematic Review

  • Andrea LazzatiEmail author
  • Georges Bou Nassif
  • Luca Paolino
Review

Abstract

This study is a review on the management of ventral hernia during bariatric surgery. The main outcomes are the recurrence rate after ventral hernia repair and the incidence of prosthetic infection. Eleven studies were included. Ventral hernias were treated by simple suture (n = 191), synthetic mesh (n = 186), and biological mesh (n = 72). Mean defect size was 18 cm2. Recurrence rate was 25.7% in the suture group, 14.3% in the biomesh group, and 1.1% in the synthetic mesh group (p < 0.05). Mesh infection rate was not different between the groups. No significant difference was observed in 30-day reoperation. Concomitant treatment of small hernia defect is feasible and safe during bariatric surgery. Synthetic mesh provides a significantly lower recurrence rate without any increase in 30-day wound morbidity.

Keywords

Ventral hernia Bariatric surgery Synthetic mesh Biological mesh Clean-contaminated surgery 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement on Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Disclosures

Dr. Andrea Lazzati did not receive any payment or services from a third party (government, commercial, private foundation, etc.) for any aspect of the submitted work (including but not limited to grants, data monitoring board, study design, manuscript preparation, statistical analysis, etc.). Dr. Georges Bou Nassif, co-author, did not receive any payment or services from a third party (government, commercial, private foundation, etc.) for any aspect of the submitted work (including but not limited to grants, data monitoring board, study design, manuscript preparation, statistical analysis, etc.). Dr. Luca Paolino did not receive any payment or services from a third party (government, commercial, private foundation, etc.) for any aspect of the submitted work (including but not limited to grants, data monitoring board, study design, manuscript preparation, statistical analysis, etc.). Dr. Andrea Lazzati, corresponding author of this study, certify that the manuscript did not involve the use of animal or human subjects.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of General SurgeryCentre Hospitalier Intercommunal de CréteilCréteilFrance
  2. 2.INSERM, UMR_S 1138, Centre de Recherche des CordeliersUniversité Paris DescartesParisFrance

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