Rodríguez-Hermosa José Ignacio, Codina-Cazador Antoni, Ruiz-Feliú Bartomeu, Roig-García Josep, Albiol-Quer Maite, Planellas-Giné Pere
Department of Surgery, University Hospital Dr Josep Trueta, Avda. França, s/n. 17007, Girona, Spain.
Obes Surg. 2008 Jul;18(7):893-5. doi: 10.1007/s11695-007-9397-3. Epub 2008 Mar 11.
Abdominal wall hernias are more prevalent in the morbidly obese. Incarceration of external hernias is a relatively common process in adults and is associated to a high rate of complications and mortality. We present the case of a morbidly super-super-obese patient (body mass index, 80 kg/m(2)) who underwent emergency surgery for an incarcerated umbilical hernia; the patient died despite segmental intestinal resection, hernia repair using mesh, and intensive care.
腹壁疝在病态肥胖者中更为常见。成人腹股沟外疝嵌顿是一个相对常见的过程,且与高并发症发生率和死亡率相关。我们报告一例病态超级肥胖患者(体重指数,80kg/m²),该患者因脐疝嵌顿接受了急诊手术;尽管进行了节段性肠切除、使用补片修补疝以及重症监护,患者仍死亡。