Erawan R.Wiradisuria
Premier Bintaro Hospital, Indonesia
Title: One stage laparoscopic sleeve gastrectomy and multiple hernia repair is it possible and save?
Biography
Biography: Erawan R.Wiradisuria
Abstract
Bariatric surgery, also called weight-loss surgery, is very effective for people who are not able to lose weight or maintain weight loss with diet and exercise alone. Most people can expect to lose between 35%-70% of their excess body weight one year after having bariatric surgery. Obesity, defined as a body mass index (BMI) ≥30 kg/m2, has been associated with an elevated risk for the development of abdominal wall hernias (AWH). This risk is likely due to multiple factors, such as: increased visceral fat, intra-abdominal pressure, increased abdominal wall circumference, increase risk of surgical site infections (SSI).
The benefit for doing one stage laparoscopic sleeve gastrectomy and multiple hernia repair: the patient should not have reoperated for the other indication. This one stage laparoscopic procedure we can do it if we establish the patient safety criteria. Using a synthetic mesh in patient for hernia repair after sleeve gastrectomy considered this operation is clean. The ideal timing for hernia repair remains controversial, there are have scenarios: Hernia repair prior to bariatric surgery, bariatric surgery followed by hernia repair and simultaneous bariatric procedure and hernia repair. Each procedure can be done according to their respective criteria.