Exhortation to lose weight prior to complex ventral hernia repair: Nudge or noodge?
Am J Surg
; 219(1): 136-139, 2020 01.
Article
de En
| MEDLINE
| ID: mdl-31036255
ABSTRACT
BACKGROUND:
Exercise and weight loss are recommended for patients with obesity undergoing elective complex ventral hernia repair (cVHR).METHODS:
Weight and BMI trajectory data on 230 obese patients undergoing cVHR from 2012 to 2017 were retrospectively analyzed from 12 months prior to first visit with the hernia surgeon to 12 months after surgery.RESULTS:
One year prior to initial visit, 76 (33%) patients had lostâ¯>â¯1kg/m2, 98 (43%) had gained> 1kg/m2, and 56 (24%) had no change in body mass index (BMI). Between initial visit and operation, 53 (23%) lost >1kg/m2, 43 (19%) gained, and 134 (58%) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m2 at time of operation. Twelve months post-operatively, 69 (35%) had lost >1kg/m2, while 52 (26%) had gained, and 108 (47%) had no change.CONCLUSIONS:
Exhortations for pre-operative and post-operative weight management are not often successful or sustainable, implying a need for individualized holistic approaches.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Perte de poids
/
Counseling directif
/
Herniorraphie
/
Hernie ventrale
/
Obésité
Type d'étude:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limites:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Am J Surg
Année:
2020
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique