Laparoscopic gastric bypass internal hernia prevention
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DOI: 10.1007/s11695-013-0986-z
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作者:Saba, J.; Zajjur, J.; Alvarez, I.; Sepúlveda, M.; Reyes, E.; Arias, P.; Muñoz, J.; Álamo, M.; Pérez-Castilla, A.
摘要:Introduction: Internal hernias are the most frequent cause of intestinal obstruction on patients put through a laparoscopic gastric bypass (LGB) and they can have a fatal ending if these are not noticed in time. Laparoscopic surgery limits the formation of adherence and helps the free movility of the intestinal limbs and the possibility of their movement through the hernia holes created by the surgery itself. The potential spaces include: the transverse mesocolon flaw on the retrocolic technique, the Petersen space and the mesenteric flaw of the entero-enterostomy. The hernia incidence of: Petersen oscillates between a 1-9%, of the mesenteric space until a 21% and the trans mesocolic until a 67%. Our group compares two types of mesenteric gaps' closure, and our hypothesis is founded on the idea that the technique used on the closures, is the most important factor

