The effect of clinically significant weight loss prior to open ventral hernia repair
- 01.12.2025
- Original Article
Erschienen in:
- Verfasst von
- Samuel S. Huffman
- Lauren E. Berger
- Grace C. Bloomfield
- Holly D. Shan
- Julian K. Marable
- Richard W. Garrett
- Daisy L. Spoer
- Romina Deldar
- Karen K. Evans
- Parag Bhanot
- Yewande R. Alimi
- Erschienen in
- Hernia | Ausgabe 1/2025
Abstract
Purpose
The study aim was to assess the impact of clinically significant weight loss (CSWL; ≥5% weight reduction) on postoperative complications following abdominal wall reconstruction with the component separation technique (CST).
Methods
A retrospective review of patients who underwent open ventral hernia repair (VHR) with CST from November 2008 to January 2022 was performed. Cohorts were stratified by presence of CSWL from baseline weight at preoperative consultation.
Results
Of 180 total patients, 40 (22.2%) achieved CSWL prior to VHR. Mean age was 59.6 ± 11.2 years. Patients in the CSWL cohort represented a higher average body mass index (BMI) (33.6 vs. 31.7 kg/m2, p = 0.076), and were obese more frequently (80.0% vs. 56.4%, p = 0.007). The CSWL cohort had a higher proportion of patients in Ventral Hernia Working Group (VHWG) classification II (82.5% vs. 63.6%) while the non-CSWL cohort had more VHWG classification III/IV (20.0% vs. 10.0%, p = 0.078). Mean follow-up duration was 6.1 ± 13.4 months. Complications, including 30- and 90-day surgical site occurrence (SSO), return to operating room, readmission, and hernia recurrence (CSWL: 5.0% vs. non-CWL 1.4%, p = 0.179), were comparable between cohorts. BMI was an independent predictor of any complication (OR 1.07, p = 0.044) and 90-day SSO (OR 1.10, p = 0.043).
Conclusion
Achievement of CSWL prior to open VHR utilizing CST results in similar post-reconstruction outcomes to patients who maintained a comparable BMI at baseline. Higher day-of-surgery BMI was more consequential to postoperative complications than percent weight loss.
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- Titel
- The effect of clinically significant weight loss prior to open ventral hernia repair
- Verfasst von
-
Samuel S. Huffman
Lauren E. Berger
Grace C. Bloomfield
Holly D. Shan
Julian K. Marable
Richard W. Garrett
Daisy L. Spoer
Romina Deldar
Karen K. Evans
Parag Bhanot
Yewande R. Alimi
- Publikationsdatum
- 01.12.2025
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 1/2025
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03208-4
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