Characterization of concurrent bariatric surgery and abdominal wall hernia repair prevalence and outcomes: a multi-centered study of 180,544 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program patients

This large-scale national analysis demonstrates that concurrent AWH repair during bariatric surgery is uncommon and might be associated with higher short-term morbidity. These findings should be interpreted as descriptive and hypothesis-generating, highlighting patient- and hernia-specific factors that may inform perioperative risk stratification and shared decision-making, particularly in patients with medium-sized hernias (3-10 cm) or those undergoing RYGB.