Exhortation to lose weight prior to complex ventral hernia repair

Nudge or noodge?

Paddy Ssentongo, Colin G. DeLong, Anna E. Ssentongo, Eric Pauli, David Soybel

Research output: Contribution to journalArticle

Abstract

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/m 2 , 98 (43%) had gained> 1kg/m 2 , and 56 (24%) had no change in body mass index (BMI). Between initial visit and operation, 53 (23%) lost >1kg/m 2 , 43 (19%) gained, and 134 (58%) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m 2 at time of operation. Twelve months post-operatively, 69 (35%) had lost >1kg/m 2 , 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.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
DOIs
StatePublished - Jan 1 2019

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Ventral Hernia
Herniorrhaphy
Body Mass Index
Weights and Measures
Hernia
Hyperglycemia
Weight Loss
Obesity
Exercise

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

@article{e07dfa4f5c5647e0ba517df09e68ef78,
title = "Exhortation to lose weight prior to complex ventral hernia repair: Nudge or noodge?",
abstract = "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/m 2 , 98 (43{\%}) had gained> 1kg/m 2 , and 56 (24{\%}) had no change in body mass index (BMI). Between initial visit and operation, 53 (23{\%}) lost >1kg/m 2 , 43 (19{\%}) gained, and 134 (58{\%}) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m 2 at time of operation. Twelve months post-operatively, 69 (35{\%}) had lost >1kg/m 2 , 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.",
author = "Paddy Ssentongo and DeLong, {Colin G.} and Ssentongo, {Anna E.} and Eric Pauli and David Soybel",
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Exhortation to lose weight prior to complex ventral hernia repair : Nudge or noodge? / Ssentongo, Paddy; DeLong, Colin G.; Ssentongo, Anna E.; Pauli, Eric; Soybel, David.

In: American Journal of Surgery, 01.01.2019.

Research output: Contribution to journalArticle

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

AU - Soybel, David

PY - 2019/1/1

Y1 - 2019/1/1

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/m 2 , 98 (43%) had gained> 1kg/m 2 , and 56 (24%) had no change in body mass index (BMI). Between initial visit and operation, 53 (23%) lost >1kg/m 2 , 43 (19%) gained, and 134 (58%) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m 2 at time of operation. Twelve months post-operatively, 69 (35%) had lost >1kg/m 2 , 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/m 2 , 98 (43%) had gained> 1kg/m 2 , and 56 (24%) had no change in body mass index (BMI). Between initial visit and operation, 53 (23%) lost >1kg/m 2 , 43 (19%) gained, and 134 (58%) had no change. Post-operative hyperglycemia was associated with BMI> 40kg/m 2 at time of operation. Twelve months post-operatively, 69 (35%) had lost >1kg/m 2 , 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.

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