半膜膜的Iatrogenic发泄在一个腹腔外科手术后的患者
Leonora E Long1,2, Sam Tharwat Alhayo1,2, Michael Talbot1,2
1Department of Surgery, St George Hospital, Grey St, Kogarah, NSW 2217, Australia.
Journal of surgical case reports
|March 15, 2024
概括
手术腹膜复合有效地管理了先前患有腹膜外科手术的患者的阳性腹膜发泄和间隙,缓解了反流和呼吸障碍的症状.
科学领域:
- 胃肠病学 胃肠病学
- 胸部外科手术 胸部外科手术
- 腹部外科 腹部外科
背景情况:
- 在胸腔出口综合征手术后,可以发生Iatrogenic腹膜发泄.
- 袖子胃切除术的病史可以改变腹部解剖学.
- 胃食道逆流和呼吸障碍是需要管理的常见症状.
研究的目的:
- 描述iatrogenic diaphragmatic eventration后胸外出口综合征手术的管理方法.
- 为了评估之前做过减肥手术的患者的手术结果.
- 评估隔膜折叠和并发修复的疗效.
主要方法:
- 左半膜的腹腔镜复合.
- 间隙的 laparoscopic 修复 间隙.
- 腹腔镜omega环胃绕道用于袖子转换为胃绕道.
主要成果:
- 胃食道逆流和呼吸障碍的令人满意的解决.
- 成功管理阳性隔膜外泄和间隙.
- 尽管从之前的减肥手术中改变了腹部解剖学,但手术结果很好.
结论:
- 手术腹膜复合是有效的,对于改变了腹部解剖的患者中,iatrogenic eventration.
- 同时进行间隙修复和胃绕道转换可以令人满意地缓解症状.
- 这种综合方法为患有复杂腹膜问题的致病肥胖患者提供了可行的解决方案.
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