TY - JOUR
T1 - Exhortation to lose weight prior to complex ventral hernia repair
T2 - Nudge or noodge?
AU - Ssentongo, Paddy
AU - DeLong, Colin G.
AU - Ssentongo, Anna E.
AU - Pauli, Eric M.
AU - Soybel, David I.
PY - 2020/1
Y1 - 2020/1
N2 - Background: Exercise and weight loss are recommended for patients with obesity undergoing elective complex ventral hernia repair (cVHR). Methods: Weight and BMI trajectory data on 230 obese patients undergoing cVHR from 2012 to 2017 were retrospectively analyzed from 12 months prior to first visit with the hernia surgeon to 12 months after surgery. Results: One year prior to initial visit, 76 (33%) patients had lost > 1kg/m2, 98 (43%) had gained> 1kg/m2, and 56 (24%) had no change in body mass index (BMI). Between initial visit and operation, 53 (23%) lost >1kg/m2, 43 (19%) gained, and 134 (58%) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m2 at time of operation. Twelve months post-operatively, 69 (35%) had lost >1kg/m2, while 52 (26%) had gained, and 108 (47%) had no change. Conclusions: Exhortations for pre-operative and post-operative weight management are not often successful or sustainable, implying a need for individualized holistic approaches.
AB - Background: Exercise and weight loss are recommended for patients with obesity undergoing elective complex ventral hernia repair (cVHR). Methods: Weight and BMI trajectory data on 230 obese patients undergoing cVHR from 2012 to 2017 were retrospectively analyzed from 12 months prior to first visit with the hernia surgeon to 12 months after surgery. Results: One year prior to initial visit, 76 (33%) patients had lost > 1kg/m2, 98 (43%) had gained> 1kg/m2, and 56 (24%) had no change in body mass index (BMI). Between initial visit and operation, 53 (23%) lost >1kg/m2, 43 (19%) gained, and 134 (58%) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m2 at time of operation. Twelve months post-operatively, 69 (35%) had lost >1kg/m2, while 52 (26%) had gained, and 108 (47%) had no change. Conclusions: Exhortations for pre-operative and post-operative weight management are not often successful or sustainable, implying a need for individualized holistic approaches.
UR - http://www.scopus.com/inward/record.url?scp=85064627754&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85064627754&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2019.04.013
DO - 10.1016/j.amjsurg.2019.04.013
M3 - Article
C2 - 31036255
AN - SCOPUS:85064627754
VL - 219
SP - 136
EP - 139
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 1
ER -