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肥胖症手术并发腹疝的病例报告。

Case report of ventral hernia complicating bariatric surgery.

作者信息

Sarwal Ankush, Khullar Rajesh, Sharma Anil, Soni Vandana, Baijal Manish, Chowbey Pradeep

机构信息

Institute of Minimal Access Metabolic and Bariatric Surgery, Max Super Speciality Hospital Saket, New Delhi, India.

出版信息

J Minim Access Surg. 2018 Oct-Dec;14(4):345-348. doi: 10.4103/jmas.JMAS_253_17.

DOI:10.4103/jmas.JMAS_253_17
PMID:29595181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6130183/
Abstract

Ventral hernias (VHs) are common in the bariatric population with incidence of around 8% of patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB). The factors contributing to the incidence of VH includes high intra-abdominal pressures, previous histories of abdominal surgeries, defects in fascial structure and reduced healing tendency. There is a high index of suspicion in BS patients with VH for hernia complications which can be lethal after LRYGB. Here, we present a case where VH complicated the LRYGB surgery.

摘要

腹疝(VHs)在肥胖症患者中很常见,在接受腹腔镜Roux-en-Y胃旁路术(LRYGB)的患者中发生率约为8%。导致腹疝发生的因素包括高腹内压、既往腹部手术史、筋膜结构缺陷和愈合倾向降低。肥胖症患者合并腹疝时,高度怀疑会出现疝并发症,这在LRYGB术后可能是致命的。在此,我们报告一例腹疝并发LRYGB手术的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/ee1e54c1e645/JMAS-14-345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/a9c61dccfda9/JMAS-14-345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/b35c105e09fc/JMAS-14-345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/6841cef28f84/JMAS-14-345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/ee1e54c1e645/JMAS-14-345-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/a9c61dccfda9/JMAS-14-345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/b35c105e09fc/JMAS-14-345-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/6841cef28f84/JMAS-14-345-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e4/6130183/ee1e54c1e645/JMAS-14-345-g004.jpg

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