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超级肥胖患者的嵌顿性脐疝

Incarcerated umbilical hernia in a super-super-obese patient.

作者信息

Rodríguez-Hermosa José Ignacio, Codina-Cazador Antoni, Ruiz-Feliú Bartomeu, Roig-García Josep, Albiol-Quer Maite, Planellas-Giné Pere

机构信息

Department of Surgery, University Hospital Dr Josep Trueta, Avda. França, s/n. 17007, Girona, Spain.

出版信息

Obes Surg. 2008 Jul;18(7):893-5. doi: 10.1007/s11695-007-9397-3. Epub 2008 Mar 11.

DOI:10.1007/s11695-007-9397-3
PMID:18330658
Abstract

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.

摘要

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。

相似文献

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Incarcerated umbilical hernia in a super-super-obese patient.超级肥胖患者的嵌顿性脐疝
Obes Surg. 2008 Jul;18(7):893-5. doi: 10.1007/s11695-007-9397-3. Epub 2008 Mar 11.
2
Abdominal wall hernia during laparoscopic gastric bypass: A serious consideration.腹腔镜胃旁路手术期间的腹壁疝:一项重要考量。
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Repair of ventral hernias in morbidly obese patients undergoing laparoscopic gastric bypass should not be deferred.对于接受腹腔镜胃旁路手术的病态肥胖患者,腹疝修复不应延迟。
Surg Endosc. 2004 Feb;18(2):207-10. doi: 10.1007/s00464-003-8915-1. Epub 2003 Dec 29.
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Concurrent gastric bypass and repair of anterior abdominal wall hernias.同期进行胃旁路手术和前腹壁疝修补术。
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引用本文的文献

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World J Surg. 2009 Jun;33(6):1174-80. doi: 10.1007/s00268-009-9991-8.
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Lethal intestinal perforation after foreign body ingestion in a superobese patient.一名超级肥胖患者吞食异物后发生致命性肠穿孔。
Obes Surg. 2009 Aug;19(8):1183-5. doi: 10.1007/s11695-008-9667-8. Epub 2008 Aug 22.

本文引用的文献

1
Abdominal wall hernia during laparoscopic gastric bypass: A serious consideration.腹腔镜胃旁路手术期间的腹壁疝:一项重要考量。
Obes Surg. 2007 Jun;17(6):839-42. doi: 10.1007/s11695-007-9129-8.
2
Factors affecting morbidity and mortality in incarcerated abdominal wall hernias.影响嵌顿性腹壁疝发病率和死亡率的因素。
Hernia. 2007 Aug;11(4):341-6. doi: 10.1007/s10029-007-0226-3. Epub 2007 Apr 18.
3
Emergency presentation of abdominal hernias: outcome and reasons for delay in treatment - a prospective study.腹外疝的急诊表现:治疗结果及延误原因——一项前瞻性研究
Ann R Coll Surg Engl. 2007 Jan;89(1):47-50. doi: 10.1308/003588407X160855.
4
Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia: a prospective randomized study.嵌顿性脐旁疝急诊处理中人工合成补片修补与组织修补的比较:一项前瞻性随机研究
Hernia. 2007 Apr;11(2):163-7. doi: 10.1007/s10029-007-0189-4. Epub 2007 Feb 2.
5
Concurrent gastric bypass and repair of anterior abdominal wall hernias.同期进行胃旁路手术和前腹壁疝修补术。
Obes Surg. 2006 Sep;16(9):1205-8. doi: 10.1381/096089206778392374.
6
[Presentation and outcome of incarcerated external hernias in adults].[成人嵌顿性外疝的临床表现与转归]
Cir Esp. 2005 Jan;77(1):40-5. doi: 10.1016/s0009-739x(05)70802-2.
7
Retrospective comparison of mesh and sutured repair for adult umbilical hernias.成人脐疝补片修补与缝合修补的回顾性比较
Hernia. 2005 Oct;9(3):248-51. doi: 10.1007/s10029-005-0342-x. Epub 2005 May 13.
8
Bariatric surgery: a systematic review and meta-analysis.减重手术:一项系统评价与荟萃分析。
JAMA. 2004 Oct 13;292(14):1724-37. doi: 10.1001/jama.292.14.1724.
9
Overweight and obesity worldwide now estimated to involve 1.7 billion people.目前估计,全球超重和肥胖人口达17亿。
Obes Surg. 2003 Jun;13(3):329-30. doi: 10.1381/096089203765887598.
10
Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults.比较成人脐疝缝合修补术与补片修补术的随机临床试验。
Br J Surg. 2001 Oct;88(10):1321-3. doi: 10.1046/j.0007-1323.2001.01893.x.