Abstract

CORRELATION BETWEEN BODY MASS INDEX, METABOLIC SYNDROM AND RATE OF PERIOPERATIVE COMPLICATIONS OF VENTRAL HERNIA REPAIR

Marwah Abdulameer Alyassiri* and Maitham H. Kenber

ABSTRACT

Background: Ventral hernia repair can be affected by body mass index (BMI) and metabolic syndrome in many points and complicated at any stage beginning from the fitness for surgery, intraoperative events; ending with postoperatively care and complications that may happen especially in uncontrolled medical condition; even they can be the cause as increasing probability of hernia development with increasing BMI. This relation has been extensively studied at centers worldwide.[1] The aim: To obtain the risk of BMI and metabolic syndrome on the perioperative complications for patients with ventral hernia repair. Patients and methods: A prognostic cohort study for 132 patients admitted electively to the surgical wards at Al-Sader teaching hospital / Al-Najaf from December 1st, 2015 until October 1st, 2016, for ventral hernia repair. Send preoperatively for laboratory tests regarding FBS, lipid profile, HbA1c if diabetic and height, weight, waist circumference, blood pressure measurements with medical counselling accompanied by intraoperative events recording like vital signs, type of repair, anesthetic complications and recovery difficulties then the patients followed for ten days postoperatively till time of stich removal to detect early complications. Results: There is a significant effect for diabetes as a factor affect the postoperative wound infection. . Mesh effect on wound infection was statistically insignificant. BMI and metabolic syndrome found not affect the complications in our patients sample except for those non obese with metabolic syndrome intraoperatively. Conclusions: (1) Having diabetes whether as a part of metabolic syndrome or not increase the incidence of wound infection and these patients needs to be closely followed up and to detect early sign of wound infection and managed accordingly. (2) Our patient with elective surgery for ventral hernia repair especially those with risk factors for complication submitted to preoperative checking and intraoperative close observation to control postoperative complications. Recommendations: There should be more specification regarding type of hernia, if its recurrent or not and cases collected under same conditions; giving same instructions when send laboratory tests, same surgical team, same technique and same anesthetic details.

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