Sarwal Ankush, Khullar Rajesh, Sharma Anil, Soni Vandana, Baijal Manish, Chowbey Pradeep
Institute of Minimal Access Metabolic and Bariatric Surgery, Max Super Speciality Hospital Saket, New Delhi, India.
J Minim Access Surg. 2018 Oct-Dec;14(4):345-348. doi: 10.4103/jmas.JMAS_253_17.
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.
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。