AI Article Synopsis
- - The study aimed to assess the effectiveness of single-incision laparoscopic surgery for hernia repairs in overweight and obese patients compared to those of normal weight.
- - 201 patients were analyzed based on BMI, revealing that the median surgical time for unilateral hernia repair was significantly longer for overweight/obese patients (95 minutes) compared to normal-weight patients (72 minutes).
- - Despite the longer operative time for the overweight/obese group, the surgery showed no significant differences in complications or recovery metrics, indicating it is a safe and effective option for these patients.
Article Abstract
Aim: To evaluate the efficacy of single-incision laparoscopic surgery for totally extraperitoneal repair in overweight or obese patients.
Materials And Methods: For outcome analyses, patients were subdivided by body mass index (BMI) as normal-weight (18.5≤BMI<25 kg/m), overweight (25≤BMI<30 kg/m) or obese (≥30 kg/m) and compared.
Results: In total, 201 patients were divided into a normal-weight group (n=152) and an overweight/obese group (n=49). Median operative time for unilateral hernia was 72 minutes in the normal-weight group and 95 minutes in the overweight/obese group (P<0.05). No significant differences in operative time for bilateral hernia, bleeding volume, peritoneal injury, conversion to a different procedure, postoperative hospital stay, follow-up duration, complications, or recurrence were identified.
Conclusions: Single-incision laparoscopic surgery for totally extraperitoneal repair, which offers good cosmetic outcomes, seems feasible and safe for overweight or obese patients, although the operation takes longer.
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| http://dx.doi.org/10.1097/SLE.0000000000000628 | DOI Listing |
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