Management of abdominal wall hernias in the bariatric patient

Abdominal wall hernia and obesity are associated closely. Many patients being considered for bariatric surgery have an abdominal wall hernia-either a primary umbilical hernia or an incisional hernia after previous abdominal operations. Similarly, many patients with an abdominal wall hernia have concomitant medically complicated obesity and probably should be considered for bariatric surgery. This chapter addresses the controversies of whether the abdominal wall hernia should be repaired before, during, or after the bariatric procedure. Also, should we as physicians (and surgeons) actively suggest bariatric surgery to patients with medically complicated obesity asking only to have their abdominal wall hernia repaired?.