PDF(Pubmed)
Abstract：
The global prevalence of obesity continues to rise, contributing to an increased frequency of abdominal wall reconstruction procedures, particularly ventral hernia repairs, in individuals with elevated body mass indexes. Undertaking these operations in obese patients poses inherent challenges. This review focuses on the current literature in this area, with special attention to the impact of concomitant panniculectomy. Obese individuals undergoing abdominal wall reconstruction face elevated rates of wound healing complications and hernia recurrence. The inclusion of concurrent panniculectomy heightens the risk of surgical site occurrences but does not significantly influence hernia recurrence rates. While this combined approach can be executed in obese patients, caution is warranted, due to the higher risk of complications. Physicians should carefully balance and communicate the potential risks, especially regarding the increased likelihood of wound healing complications. Acknowledging these factors is crucial in shared decision making and ensuring optimal patient outcomes in the context of abdominal wall reconstruction and related procedures in the obese population.
摘要：
肥胖的全球患病率持续上升,增加腹壁重建手术的频率，尤其是腹侧疝修补,在体重指数升高的个体中。在肥胖患者中进行这些手术会带来固有的挑战。这篇综述集中在这一领域的当前文献，特别注意伴随的膜切除术的影响。接受腹壁重建的肥胖个体面临伤口愈合并发症和疝复发率升高。同时进行膜膜切除术会增加手术部位发生的风险，但不会显着影响疝复发率。虽然这种联合方法可以在肥胖患者中执行，谨慎是必要的，由于并发症的风险较高。医生应仔细平衡和沟通潜在的风险，尤其是伤口愈合并发症的可能性增加。在肥胖人群的腹壁重建和相关程序的背景下，承认这些因素对于共同决策和确保最佳患者预后至关重要。
