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Concomitant intraperitoneal onlay mesh repair with endoscopic component separation and sleeve gastrectomy


 Department of Bariatric Surgery, GEM Hospital and Research Centre, Coimbatore, Tamil Nadu, India

Correspondence Address:
P Praveen Raj,
GEM Hospital and Research Centre, Coimbatore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None

Bariatric surgery can be safely combined with laparoscopic intraperitoneal onlay mesh (IPOM) repair. In case of large ventral hernias, laparoendoscopic component separation can also be combined to achieve tension-free closure of the defect. Concomitant bariatric surgery and hernia repair also offer the additional benefit of reduction in recurrence of hernias as obesity, one of the risk factors, is treated in the process. We present a case of 60-year-old man with a body mass index of 45.3 kg/m2 with a large recurrent ventral hernia. We performed a lap sleeve gastrectomy with laparoendoscopic anterior component separation with IPOM. The operative steps included hernia contents reduction, conventional sleeve gastrectomy, anterior component separation on either side, intra-corporeal closure of hernia defect and placement of a composite mesh. Patient recovery was uneventful. Concomitant bariatric surgery with laparoendoscopic component separation with IPOM may be safe, but more studies are required.


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    -  Raj P P
    -  Bhattacharya S
    -  Kumar S S
    -  Parthasarathi R
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04