Incisional Hernia in Obese Patients

  • Luigi Angrisani
  • Michele Lorenzo
  • Pier Paolo Cutolo
Part of the Updates in Surgery book series (UPDATESSURG)


Incisional hernia is one of the most frequent complications of abdominal surgery [1,2]. Different aetiologies have been hypothesized, including patient factors such as older age, cancer, diabetes, malnutrition, chronic steroid therapy, and wound factors such as lower midline incision, re-incision and wound infections [3,4]. In abdominal surgery, by far, obesity has long been recognised as one of the most relevant conditions predisposing to the development of this very frequent complication of laparotomic surgery [4, 5, 6]. However, the introduction of laparoscopy in abdominal surgery for cholecystectomy and hysterectomy has produced a remarkable decrease in the incidence of incisional hernias. The wide diffusion of laparoscopy for the surgical treatment of obesity has also sharply reduced the dimension of this problem among bariatric surgical patients [7,8]. Nevertheless a consistent number of obese patients with incisional and/or recurrent incisional hernia are often referred to bariatric surgery centres because of the importance of extensive surgical and anaesthesiological experience in treating patients with this complex condition. By definition, in fact, obese patients are classified by the American Society of Anaesthesiology (ASA) as type III–IV, as respiratory insufficiency is obviously aggravated by the incisional hernia and potentially by its repair.


Bariatric Surgery Obese Patient Hernia Repair Incisional Hernia Laparoscopic Adjustable Gastric Banding 
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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Luigi Angrisani
  • Michele Lorenzo
  • Pier Paolo Cutolo

There are no affiliations available

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