紧急再手术减肥手术-我们在阿曼一家私立医院的前100例的经验

Rajkumar Sankaran, D. Raman, A. Shankar, Bader Al Hadhrami
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引用次数: 0

摘要

腹腔镜减肥手术虽然在过去二十年中发展迅速,但其术后并发症的发生率很高。我们提出了三个紧急并发症在我们的系列前100例在阿曼的一家私人医院,这是由我们的专业团队适当处理。这些并发症分别是腹腔镜袖式胃切除术中的一次钉线出血、小型胃旁路术中的胃袋扭曲和Roux-en-Y胃旁路术中的胃空肠吻合口漏。在所有的三个案例中,彻底的术后守夜一直被强调为术后减肥手术护理的重要因素。在胃旁路手术病例中,尽管影像学检查没有明确的发现,但作为诊断算法的一部分,患者在临床高度怀疑的情况下被送往手术室。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergency reoperations in bariatric surgery – Our experience in the first 100 cases in a private hospital in Oman
Laparoscopic bariatric surgery though growing rapidly in the past two decades has a high degree of immediate postoperative complications. We present three emergent complications in our series of first 100 cases in a private hospital in Oman which were tackled appropriately by our team of professionals. These complications were one staple line hemorrhage in laparoscopic sleeve gastrectomy, twist of gastric pouch in mini gastric bypass and leakage of gastrojejunal anastomosis in Roux-en-Y gastric bypass. In all the three cases, thorough postoperative vigil has been stressed upon as an important factor in postoperative bariatric surgical care. In the gastric bypass case, despite the absence of definite findings in the radiological investigations, patient was taken to the operating room on high degree of clinical suspicion as a part of diagnostic algorithm.
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