title: Closure of small and medium size umbilical hernias with the Proceed Ventral Patch in obese patients: a single center experience.
abstract: Obesity is a risk factor for the development of umbilical hernia. Open hernia closure could be challenging in obese patients leading to high rates of recurrence. The aim of this study was to investigate the effectiveness and safety of hernia patches in the management of obese patients with umbilical hernias. All the patients included in this study were managed in the department of surgery of a primary care hospital in Germany. The data of patients undergoing umbilical hernia repair within a two-year period was retrospectively reviewed. Patients managed with the PVP were included for analysis. 24 obese patients were analyzed. Small and medium size patches were used in 15 and 9 patients respectively. The median duration of surgery was 40 min and the median length of hospital stay was 4d. The mean length of follow-up was 12 ± 9 months (range: 6-30 months). The rate of recurrence was 4.1% and the rate of complication was 8.3%. Obese patients presenting with small and medium size umbilical hernias could be safely and effectively managed with prosthetic patches like the Proceed Ventral Patch. However, the limited overlap zone following hernia closure with such a patch can be an issue.
authors.affiliation: Department of general, visceral and thoracic surgery, St. Remigius Hospital Opladen, An St. Remigius 26, 51379 Leverkusen, Germany.
authors.forename: Dirk
authors.initials: D
authors.lastname: Wassenberg
authors.affiliation: Department of general, visceral and thoracic surgery, St. Remigius Hospital Opladen, An St. Remigius 26, 51379 Leverkusen, Germany.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Zarmpis
authors.affiliation: Department of general, visceral and thoracic surgery, St. Remigius Hospital Opladen, An St. Remigius 26, 51379 Leverkusen, Germany.
authors.forename: Nora
authors.initials: N
authors.lastname: Seip
authors.affiliation: Helios Klinikum Wuppertal, Department of Surgery II, Witten/Herdecke University, Heusner Str. 40, 42283 Wuppertal, Germany ; Department of general, visceral and thoracic surgery, St. Remigius Hospital Opladen, An St. Remigius 26, 51379 Leverkusen, Germany.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Ambe
keywords: Hernia recurrence; Obesity; Proceed Ventral Patch; Umbilical hernia; Ventral hernia