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LETTER
Year : 2008  |  Volume : 54  |  Issue : 1  |  Page : 58-59

Simultaneous umbilical hernia repair in patients undergoing laparoscopic cholecystectomy: Is obesity a risk factor for recurrence?


Department of Anatomy, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Correspondence Address:
Srijit Das
Department of Anatomy, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur
Malaysia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0022-3859.39199

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How to cite this article:
Das S. Simultaneous umbilical hernia repair in patients undergoing laparoscopic cholecystectomy: Is obesity a risk factor for recurrence?. J Postgrad Med 2008;54:58-9

How to cite this URL:
Das S. Simultaneous umbilical hernia repair in patients undergoing laparoscopic cholecystectomy: Is obesity a risk factor for recurrence?. J Postgrad Med [serial online] 2008 [cited 2019 Dec 12];54:58-9. Available from: http://www.jpgmonline.com/text.asp?2008/54/1/58/39199


Sir,

I read with interest the article entitled 'Laparoscopic cholecystectomy accompanied by simultaneous umbilical hernia repair: A retrospective study'. [1] Umbilical hernias, mostly acquired, are more common in adults in the fifth or sixth decade of life with obesity and multiparity as important associated factors. [2] The authors have reported good results, but have mentioned about a high-recurrence rate amongst patients with BMI ≥ 30 kg/m 2 . These results are in contradiction of a previous study that reported a lack of correlation between BMI and risk of recurrence of umbilical hernia. [3] The relationship between obesity and the risk of recurrence could have been better elicited, had the authors carried out determination of serum leptin levels in the study subjects. It is well known that this hormone produced by adipocytes may often help in measuring the adiposity. [4] Several factors influence the development of umbilical hernia. Selection of cases from one or more geographical area may also influence the results. Surgical technique and BMI may not be the only factors in the development of recurrence.

 
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1.Kamer E, Unalp HR, Derici H, Tansug T, Onal MA. Laparoscopic cholecystectomy accompanied by simultaneous umbilical hernia repair: A retrospective study. J Postgrad Med 2007;53:176-80.  Back to cited text no. 1    
2.Nyhus LM, Condon RE, editors. Hernia. 3 rd ed. JB Lippincott: Philadelphia; 1989.  Back to cited text no. 2    
3.Asolati M, Huerta S, Sarosi G, Harmon R, Bell C, Anthony T. Predictors of recurrence in veteran patients with umbilical hernia: Single center experience. Am J Surg 2006;192:627-30.  Back to cited text no. 3    
4.Ruhl CE, Harris TB, Ding J, Goodpaster BH, Kanaya AM, Kritchevsky SB, et al . Body mass index and serum leptin concentration independently estimate percentage body fat in older adults. Am J Clin Nutr 2007;85:1121-6.  Back to cited text no. 4    



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1 A Long-term Follow-up: Suture versus Mesh Repair for Adult Umbilical Hernia in Saudi Patients. A Single Center Prospective Study
Ahmed M. Kensarah
Surgical Science. 2011; 02(03): 155
[Pubmed] | [DOI]
2 Authorsę reply
Kamer, E., Unalp, H., Derici, H., Tansug, T., Onal, M.
Journal of Postgraduate Medicine. 2008; 54(1): 59
[Pubmed]



 

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