PP 35. Surgical Treatment Of Ventral Hernias In Morbid Obesity Patients
V. Samartsev, L. Kotelnikova, Y. Busirev, V. Gavrilov
18:34 - 18:40h
at Margrit Room
Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session
Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery
Background
The aim of our studies was to improve the treatment results in patients with morbid obesity with ventral hernias by developing criteria for choosing the optimal method of hernioplasty and abdominoplasty.
Material and Methods
496 patients with ventral hernias ware included into the studying. Morbid obesity 1-4 degree observed in 426(86%) cases. Ptosis of the abdominal wall - in 38(77.7%) cases: 1st degree - 200(52.1%); 2nd degree - 104(27.1%), 3 degree - 67(17.2%); 4 degree – in 14(3.6%) cases. In 172(34.7%) patients were observed pathology of the cardiovascular system. All 54(10.8%) patients with large and giant ventral hernias (W3-W4) conducted a study of compression oscillotonometry.
Result
All 54 patients with morbid obesity and BMI over 50 kg/m2 performed bilio-pancreatic diversion. Combined methods of hernioplasty were used in 17(31.5%) patients. The maximum level of intraabdominal pressure (IAP) was 23.6 mm RT. After the hernioplasty IPA was 21.3±2.3 mm RT. Specific complications observed in 6(9.7%) cases, including seromas 3(5.7%), SSI - 2(2.8%), the marginal necrosis of the skin - 1(1.2%). Non-specific complications were observed in 2(1.6%) people. There were no lethal outcomes.
Conclusion
The correction of underlying diseases and differentiated approach to the choice of method for reconstruction of the anterior abdominal wall after bariatric surgery in patients with over obesity and ventral hernias can achieve good aesthetic and functional results of surgical treatment.
