Laparoscopic and robotic ventral hernia repair in obese and morbidly obese patients: initial experience and review of the literature
Advances in Obesity Weight Management & Control
Laparoscopic repair of large parietal wall defects is a well-accepted and safe option for class II and class III obesity patients. Apart from cardiorespiratory and anesthesiological parameters, main concerns with such patients include the relatively higher risks of wound infection and recurrencies as well as postoperative hemorrhage and port-site hernias. However, advantages over classic -open repairs are well demarcated in the literature. Robotic surgery is a newcomer in the field of hernia
... field of hernia surgery with unknown superiority towards older, established approaches. Material: Nine hernia repairs were performed in eight patients with BMIs >35, aged 31-74 years. Their hernias were epigastric (n=2), umbilical (n=3) and incisional (n=4). All patients underwent full preoperative workup, including history, physical examination, evaluation from cardiologist, anesthesiologist, as well as pneumologist and gave consent for the procedures as well as for this paper. Large incisional hernias were treated with self-expanding or self-adhering mesh. A robotic approach was used in five cases. One patient, who underwent a sleeve gastrectomy, had his umbilical hernia repaired during the same procedure.