Iljin A, Szymanski D, Kruk-Jeromin J, Strzelczyk J
Department of Plastic Surgery, Barlicki Hospital, Medical University of Lodz, Kopcinskiego 22, 90-153, Lodz, Poland.
Obes Surg. 2008 Nov;18(11):1387-91. doi: 10.1007/s11695-008-9488-9. Epub 2008 Mar 27.
Incisional hernia, found in up to 25% of patients, is a typical complication of open bariatric surgery.
Open Roux-en-Y gastric bypass (RYGB) was performed in 204 patients. They have been followed-up for at least 6 months. Thirty-two patients in whom incisional hernia was diagnosed were divided into two groups-they were scheduled for hernia repair or hernia repair with abdominoplasty. The surgery was performed, on average, 20 months after RYGB operation. Fourteen patients [mean body mass 86.4 kg, mean body mass index (BMI) 30.0 kg/m(2)] have had hernias repaired. The mean duration of hospital stay was 7.2 days. Hernia repair along with abdominoplasty was performed in 18 patients with mean body mass 89.4 kg and BMI 31.5 kg/m(2). The mean duration of hospital stay was 8.7 days.
Both examined groups were similar in body mass, BMI, age, and duration of hospital stay (p > 0.05), as well as gender distribution. The wound infection was diagnosed in six patients.
The simultaneous abdominoplasty does not prolong the time of hospital stay of the patients undergoing incisional hernia repair. Infection is the most frequent complication of incisional hernia repair.
切口疝是开放式减肥手术的典型并发症，在高达25%的患者中出现。
对204例患者进行了开放式Roux-en-Y胃旁路术（RYGB）。对他们进行了至少6个月的随访。32例被诊断为切口疝的患者被分为两组，分别计划进行疝修补术或疝修补术联合腹壁成形术。手术平均在RYGB手术后20个月进行。14例患者[平均体重86.4 kg，平均体重指数（BMI）30.0 kg/m²]进行了疝修补术。平均住院时间为7.2天。18例平均体重89.4 kg、BMI 31.5 kg/m²的患者进行了疝修补术联合腹壁成形术。平均住院时间为8.7天。
两个研究组在体重、BMI、年龄、住院时间（p>0.05）以及性别分布方面相似。6例患者被诊断出伤口感染。
同时进行腹壁成形术不会延长接受切口疝修补术患者的住院时间。感染是切口疝修补术最常见的并发症。
