肥胖患者的腹疝管理。
Ventral Hernia Management in Obese Patients.
机构信息
Department of Surgery, Division of Minimal Access & Bariatric Surgery, Prisma Health-Upstate, University of South Carolina School of Medicine Greenville, 701 Grove Road, ST 3, Greenville, SC 29607, USA.
Department of Surgery, Division of Minimal Access & Bariatric Surgery, Prisma Health-Upstate, University of South Carolina School of Medicine Greenville, 701 Grove Road, ST 3, Greenville, SC 29607, USA.
出版信息
Surg Clin North Am. 2021 Apr;101(2):307-321. doi: 10.1016/j.suc.2020.12.014.
Ventral and incisional hernias in obese patients are particularly challenging. Suboptimal outcomes are reported for elective repair in this population. Preoperative weight loss is ideal but is not achievable in all patients for a variety of reasons, including access to bariatric surgery, poor quality of life, and risk of incarceration. Surgeons must carefully weigh the risk of complications from ventral hernia repair with patient symptoms, the ability to achieve adequate weight loss, and the risks of emergency hernia repair in obese patients.
肥胖患者的腹疝和切口疝特别具有挑战性。在该人群中，择期修复的结果并不理想。术前减重是理想的，但由于各种原因并非所有患者都能实现，包括接受减重手术的机会、生活质量差和嵌顿风险。外科医生必须仔细权衡腹疝修补术的并发症风险与患者症状、实现足够减重的能力以及肥胖患者急诊疝修补术的风险。
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