Outcomes of obese compared to non-obese veterans undergoing open inguinal hernia repair: a case–control study

Huerta, Sergio; Nguyen, Tran; Yi, Bing; Pham, Thai H.

doi:10.1007/s10029-021-02382-z

Cited by 7 publications

(5 citation statements)

References 13 publications

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“…The rate of recurrence and inguinodynia was also similar between obese and nonobese patients. 3 In another of our analyses, examining outcomes in patients undergoing umbilical hernia repair, we found a similar rate of 30-day complications and recurrence in class III obese patients compared to the nonobese cohort. 4 Added to this list are now patients undergoing elective cholecystectomies as Tumminello's group has shown.…”

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confidence: 52%

Letter re: Elective Operations in Class III Obese Patients

Huerta

2022

The American Surgeon™

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confidence: 52%

Letter re: Elective Operations in Class III Obese Patients

Huerta

2022

The American Surgeon™

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“…Multiple studies have shown that, however, an increased BMI actually involved a decreased risk of developing inguinal hernia. The occurrence of inguinal hernia was associated with normal rather than low or high values of the BMI (24)(25)(26)(27)(28)(29)(30)(31).…”

Section: Methodsmentioning

confidence: 91%

“…For example, some studies have shown that overweight and obese patients are more likely to develop recurrent hernias, hence the surgeons must be aware of their risk and these patients need a proper follow-up and a careful monitoring (28). However, other studies deny this correlation, stating that the outcomes of the surgery are not significantly different among obese patients: neither the recurrence risk, nor the complications increase with the BMI (29,24,33). Nonetheless, some difficulties, such as the increased risk of surgical site infections (24,34) or the increased operative time (30) might arise when performing surgery on obese patients.…”

Section: Methodsmentioning

confidence: 99%

A Comprehensive Review of Inguinal Hernia Occurrence in Obese Individuals

ROSCA,

PADURARU,

BOLOCAN

et al. 2023

Maedica

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Inguinal hernia repair is one of the most commonly performed surgical activities worldwide. Given the circumstances, understanding and identifying the risk and the protective factors is an essential step in order to prevent, diagnose and treat such a common condition. For a long time, obesity was generally considered to be a risk factor in the occurrence of an inguinal hernia. Studies have provided some unexpected data, suggesting that it might actually be a protective factor. This review aims to provide an overview on this topic, taking into account systemic aspects such as collagen distribution and metabolism. In inguinal hernia patients, the ratio between type I collagen and type III collagen is decreased, with type III collagen being responsible for the weakness of the abdominal wall. In obese patients, the extracellular matrix becomes richer in collagen, especially type I collagen, which will generate strength and stiffness. Obesity seems to be a protective factor indeed, but in order to understand the underlying mechanism and to choose the optimal surgical approach, further research is needed.

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“…It was previously postulated that obesity increases intra-abdominal pressure thereby increasing the risk for development of inguinal hernia. (11) Upon further researches, it was found that increase in BMI decreases the risk of developing inguinal hernia. (12) There have been multiple hypotheses that have been put forward to explain how high BMI can prove to be protective towards genesis of inguinal hernia: Increased pre-peritoneal fat or intra-abdominal fat can stop herniation of contents of the abdominal cavity by serving as a plug; Obese patients are physically less active as compared to non-obese population when physical activity is a risk factor for development of inguinal hernia; Due to increased fat, there is difficulty in clinically diagnosing obese patients with inguinal hernia.…”

Section: Discussionmentioning

confidence: 99%

A Study on Incidence of Inguinal Hernia in Relation to BMI

Riaz,

Khan,

Khalique

et al. 2023

PJMHS

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Background: Inguinal Hernias (IH) are the most common hernia of abdominal wall. These hernias affect both males and females. There are many factors that are linked with the increased risk of developing these hernias. Obesity is believed to be one of them. However, with current epidemiological advances, increased body mass index (BMI) has proven to have fewer incidences of inguinal hernias. Objective: The aim of this study is to determine the relationship of inguinal hernia both unilateral and bilateral with body mass index (BMI) Study Design: This is a cross-sectional study. Methodology: This study was conducted in the department of General Surgery Unit 2 of Dow University Hospital, Karachi, Pakistan. A total of 60 patients were included in this study using non probability convenient sampling which was conducted from January of 2022 till December of 2022. Results: A total of 60 patients who were clinically diagnosed with inguinal hernia were enrolled in our study. Their mean age was 39.25 ± 14.18 years, mean height was 170.55 ± 5.51 cm and mean weight was 67.28 ± 8.64 kg. Their average BMI was 23.10 ± 2.55 kg/m2. 56 (93.3%) of the participants were males and 4 (6.7%) were females. Only 1 (1.7%) patient with inguinal hernia was underweight, 48 (80%) patients were normal weighted, 10 (16.7%) patients were overweight and 1 (1.7%) patient was obese. Conclusion: According to the research that we conducted, most patients who underwent surgical hernia repair of either right, left or bilateral sides had normal BMI. Keywords: Inguinal Hernia, Body Mass Index (BMI)

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Outcomes of obese compared to non-obese veterans undergoing open inguinal hernia repair: a case–control study

Cited by 7 publications

References 13 publications

Letter re: Elective Operations in Class III Obese Patients

Letter re: Elective Operations in Class III Obese Patients

A Comprehensive Review of Inguinal Hernia Occurrence in Obese Individuals

A Study on Incidence of Inguinal Hernia in Relation to BMI

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