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Abdominal Wall Hernia and Bariatric Surgery

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Obesity, Bariatric and Metabolic Surgery

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Abstract

The incidence of abdominal wall hernia is high in obese patients. A clear understanding of the pathophysiology of hernia occurrence in the obese and the reason for the increased incidence will help in treating these patients. Complication and recurrence rate are high in obese patients making the choice and timing of hernia surgery more crucial. The management options for these patients include: (1) concomitant bariatric surgery with hernia repair, (2) staged procedure – either bariatric surgery followed by hernia repair at a later date or hernia repair followed by bariatric surgery at a later date. The decision should be tailored and based on individual patient factors such as body mass index, comorbidities associated with obesity, symptomatology, size and number of hernias, and history of intestinal obstruction in the past. Be it concomitant surgery or staged procedure, patient education and counseling about possible complications and recurrence rate is important. However, concomitant bariatric surgery and hernia repair with prosthetic mesh is recommended due to the increasing evidence on its feasibility and advantages under favorable conditions.

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Authors and Affiliations

  1. Institute of Bariatrics, Apollo Hospitals, Chennai, India

    Palaniappan Raj, Krishna Nikhilesh & Mannan Carunya

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  1. Palaniappan Raj
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  2. Krishna Nikhilesh
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  3. Mannan Carunya
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Editor information

Editors and Affiliations

  1. Homerton University Hospital, London, UK

    Sanjay Agrawal

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  1. Bariatric & Metabolic Surgery, UHCW NHS Trust, Coventry, United Kingdom

    Vinod Menon

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Raj, P., Nikhilesh, K., Carunya, M. (2023). Abdominal Wall Hernia and Bariatric Surgery. In: Agrawal, S. (eds) Obesity, Bariatric and Metabolic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-60596-4_110

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  • DOI: https://doi.org/10.1007/978-3-030-60596-4_110

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