The Omental Plug: A Novel Management Approach of Concomitant Ventral Hernias During Bariatric Surgery.
Surg Laparosc Endosc Percutan Tech
; 32(4): 514-516, 2022 08 01.
Article
em En
| MEDLINE
| ID: mdl-35583579
ABSTRACT
BACKGROUND:
Severe obesity leads to a higher incidence of ventral hernias, thus complicating up to 8% of bariatric procedures. The optimal management of these hernias continues to be a controversial topic. We present our novel approach of utilizing an omental plug for concomitant ventral hernia management during metabolic surgery.METHODS:
To prevent early bowel incarceration and obstruction during bariatric surgery, we sutured the omentum circumferentially to the edges of the hernia defect and to the hernia sac itself with absorbable suture.RESULTS:
Four patients were managed with this novel omental plug technique. All patients were female. The mean age was 53 years (range 39 to 68 y), the mean body-mass index was 54.75 kg/m 2 (range 49 to 59 kg/m 2 ), and the mean follow-up was 4.6 months (range 1.5 to 6.5 mo). There were no hernia-related complications through the follow-up period.CONCLUSION:
The omental plug technique is a feasible, inexpensive, and safe alternative for ventral hernias with the potential prevention of bowel incarceration during bariatric surgery. This approach allows deferring the definitive hernia repair for a later stage.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Laparoscopia
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Cirurgia Bariátrica
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Hérnia Ventral
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article