Associated Risks of Obesity and/or Metabolic Syndrome with Intra-operative or Post-Operative Occurrences in Patients with Open Ventral Hernia Repair
Journal of Surgery
Volume 5, Issue 4, August 2017, Pages: 62-67
Received: Jun. 15, 2017;
Accepted: Jul. 3, 2017;
Published: Aug. 3, 2017
Views 1728 Downloads 104
Maytham Hameed Al-Qanbar, Department of Surgery College of Medicine University of Kufa, Najaf, Iraq; General Surgery Department, AlSader Teaching Hospital, Najaf, Iraq
Metabolic syndrome and obesity are increasing in incidence worldwide and they carry with them a lot of health issues that might directly affect individuals or might be associated with higher risk of surgical complications represented in this study by open ventral hernia repair. A cohort study of 132 patients admitted electively for open ventral hernia repair to the surgical wards at Al-Sader teaching hospital in Najaf /Iraq from December 1st/ 2015 to October 1st/ 2016. All patients were followed for intra-operative occurrences and followed for 2 weeks postoperatively for any early post-operative complications. Of the total 132 patients, there were 44 patients (33.3%) having metabolic syndrome and there were 68 obese patients (66.6%) of which 37 having metabolic syndrome (54.4%). There was no significant association between intra-operative occurrences or early post-operative complications in obese patients with or without metabolic syndrome but there was a significant association between intra-operative occurrences and metabolic syndrome in patients having body mass index (BMI) below 30 Kg/m2. Diabetes was the only significant factor for early postoperative wound complications whether the patient had metabolic syndrome or not.
Maytham Hameed Al-Qanbar,
Associated Risks of Obesity and/or Metabolic Syndrome with Intra-operative or Post-Operative Occurrences in Patients with Open Ventral Hernia Repair, Journal of Surgery.
Vol. 5, No. 4,
2017, pp. 62-67.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Toro A, Stella G, Gueli A, Mannino M, Palermo F, Burrafato G, Di Carlo I Modified Mayo Technique for Ventral Hernia Repair: An Experimental Study. Chirurgia. 2015; 110(6): 545-9.
Carlson MA, Ludwig KA, Condon RE. Ventral hernia and other complications of 1,000 midline incisions. South Med J. 1995; 88(4): 450-453.
Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011; Issue 3. Art. No.: CD007781. DOI: 10.1002/14651858. CD007781. pub2.
Tran BT, Jeong BY, Oh JK. The prevalence trend of metabolic syndrome and its components and risk factors in Korean adults: results from the Korean National Health and Nutrition Examination Survey 2008–2013. PMC Pub Health. 2017; 17(1): 71.
"BMI Classification". Global Database on Body Mass Index. World Health Organization. 2006. Retrieved July 27, 2012.
Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC, Spertus JA, Costa F. "Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement". Circulation. 2005; 112 (17): 2735–52.
Paniagua JA. Nutrition, insulin resistance and dysfunctional adipose tissue determine the different components of metabolic syndrome. World J Diabetes. 2016 15; 7(19): 483-514.
Ford KC, Le TV, Wong ND. Increasing prevalence of the metabolic syndrome among U. S. adults. Diabetes care. 2004; 27(10): 2444-9.
Uakritdathikarn T, Chongsuvivat wong V, Geater AF, Vasinanukorn M, Thinchana S, Klayna S. Perioperative desaturation and risk factors in general anesthesia. J med Assoc Thai. 2008; 91(7): 1020-9.
Krpata, D. M., Blatnik, J. A., Novitsky, Y. W., & Rosen, M. J. Evaluation of high-risk, comorbid patients undergoing open ventral hernia repair with synthetic mesh. Surg. 2013; 153(1): 120-125.
Huntington C, Gamble J, Blair L, Cox T, Prasad T, Lincourt A, Heniford BT. Quantification of the effect of diabetes mellitus on ventral hernia repair: results from two national registries. Am Surg. 2016; 82(8): 661-671.
Lledó JB, Quesada YS, Gavara IG, Urbaneja JV, Tatay FC, Diana SB & Pallardó JM. Prosthetic infection after hernioplasty. Five years experiences. Cirugía Española (English Edition). 2009; 85(3): 158-164.
Fekkes JF, and Velanovich V. "Amelioration of the effects of obesity on short-term postoperative complications of laparoscopic and open ventral hernia repair." Surg laparosc, endosc percutan tech. 2015; 25(2): 151-157.
Robinson TN, Clarke JH, Schoen J, Walsh M D. Major mesh-related complications following hernia repair. Surg Endosc. 2005; 19(12): 1556-1560.
Falagas ME, and Kasiakou SK. Mesh related infections after hernia repair surgery. Clin Microbiol Infect. 2005; 11(1): 3-8.
Wang XC, Zhang D, Yang ZX, Gan JX, & Yin L. Mesh reinforcement for the prevention of incisional hernia formation: a systematic review and meta-analysis of randomized controlled trials. J Surg Res. 2017; 209: 17-29.