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Published on: September 22, 2023
Management of High Output Enterocutaneous Fistula due to Richter's Hernia After Gastric Bypass: Video Demonstration
Francisco Aguilar-Espinosa1, Erika D Barba-Jaramillo2, Martha P Sánchez-Muñoz3
1General and Bariatric Surgery Los Altos: Obesity Surgery Clinic, Morelos 426, 47600, Tepatitlan, Jalisco, Mexico. franciscoaguilarresearch@gmail.com.
Introduction:
The increase in laparoscopic surgery in patients with obesity increases the incidence of trocar site hernia (TSH). Therefore, TSH represents a risk for the development of Richter's hernia (RH).
Methods:
We present the unusual case of a postoperative gastric bypass patient complicated with a high output enterocutaneous fistula through a trocar site wound.
Results:
The Laparoscopic surgery consists of an RH reduction, enterotomy, and repair of the preperitoneal space.
Conclusion:
RH complicated by high-output enterocutaneous fistula has not been previously reported. It is essential to close the preperitoneal space in bariatric surgery to avoid these complications.
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