Sukeik Mohamed, Alkari Bassam, Ammori Basil J
Department of Surgery, Manchester Royal Infirmary, Manchester, UK.
Obes Surg. 2007 Jun;17(6):839-42. doi: 10.1007/s11695-007-9129-8.
Morbidly obese patients are predisposed to developing abdominal wall hernias with the potential complication of small bowel obstruction. We report a patient who developed an obstructed paraumbilical hernia a few days after laparoscopic gastric bypass and died of aspiration pneumonia after re-laparoscopy. The controversy regarding the optimal time and method of repair of abdominal wall hernias in patients undergoing laparoscopic gastric bypass is discussed with emphasis placed on either a simultaneous repair or to split the omentum to one side leaving incarcerated omentum that is plugging the hernia defect in place for a delayed repair.
病态肥胖患者易发生腹壁疝，并有可能并发小肠梗阻。我们报告一例患者，该患者在腹腔镜胃旁路手术后几天发生了脐旁疝梗阻，再次腹腔镜检查后死于吸入性肺炎。本文讨论了腹腔镜胃旁路手术患者腹壁疝修复的最佳时间和方法的争议，重点是同时修复或将大网膜分离到一侧，留下嵌顿的大网膜堵塞疝缺损以进行延迟修复。
