Abdominal wall hernia during laparoscopic gastric bypass: A serious consideration.
Morbidly obese patients are predisposed to developing abdominal wall hernias with the potential complication of small bowel obstruction. We report a patient who developed an obstructed paraumbilical hernia a few days after laparoscopic gastric bypass and died of aspiration pneumonia after re-laparoscopy. The controversy regarding the optimal time and method of repair of abdominal wall hernias in patients undergoing laparoscopic gastric bypass is discussed with emphasis placed on either a simultaneous repair or to split the omentum to one side leaving incarcerated omentum that is plugging the hernia defect in place for a delayed repair.
Sukeik
Mohamed
M
Department of Surgery, Manchester Royal Infirmary, Manchester, UK.
Alkari
Bassam
B
Ammori
Basil J
BJ
D017809:Fatal Outcome; D015390:Gastric Bypass / Q000009:adverse effects*; D006554:Hernia, Umbilical / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery*