Successful surgical treatment of a pregnancy-induced Petersen’s hernia after laparoscopic gastric bypass. Surg Obes Relat Dis 1:506-508
Department of General and Vascular Surgery, Gundersen Lutheran Medical Center, La Crosse, Wisconsin 54601, USA. Surgery for Obesity and Related Diseases
(Impact Factor: 4.07).
09/2005; 1(5):506-8. DOI: 10.1016/j.soard.2005.07.008
Available from: Evangelos Efthimiou
- "Investigator Year Cases (n) Pregnancy stage (wk) Interval from bypass/bypass type Hernia type Surgical approach Bowel resection Fetal outcome Maternal outcome and age Moore et al.  2004 1 31 18 mo/not specified Not specified Laparotomy Yes Death Death, 41 y Charles et al.  2005 1 25 6 mo/not specified Petersen's space Laparotomy Yes Death Survived, 23 y Baker et al.  2005 1 25 10 mo/laparoscopic Petersen's space Laparoscopic converted to laparotomy No Survived Survived, 33 y Kakarla et al.  2005 2 12 35 30 mo/open 9 mo/laparoscopic Petersen's space Mesenteric defect Laparoscopy Laparotomy No No Survived Survived Survived, 33 y Survived, 35 y Ahmed et al.  2006 1 30 8 mo/laparoscopic Transverse mesocolon defect Laparoscopy No Survived Survived, 26 y Present report 2008 1 24 9 y/open Petersen's space Laparotomy Yes Death Survived, 26 y "
Surgery for Obesity and Related Diseases 10/2008; 5(3):378-80. DOI:10.1016/j.soard.2008.09.003 · 4.07 Impact Factor
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ABSTRACT: The majority of bariatric surgical procedures are performed in young women. There is a concern about safety and outcomes of pregnancies after weight loss surgery. Pregnancy after weight loss surgery is not only safe, but is associated with more favorable outcomes in comparison to obese populations who do not undergo weight loss surgery. An interval of 2 years is recommended from surgery to pregnancy. This delay helps avoid most of the potential nutritional complications. Optimal patient care is achieved in an experienced, multidisciplinary center. Early involvement of the bariatric surgeon in evaluating abdominal pain is critical because the underlying pathology may relate to the previous weight loss surgery. Although infertility is improved after weight loss surgery, reliable modes of contraception may be limited in this population.
Medical Clinics of North America 06/2007; 91(3):515-28, xiii. DOI:10.1016/j.mcna.2007.01.002 · 2.61 Impact Factor
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ABSTRACT: One in 3 adult American women is obese. Almost half of the approximately 100,000 bariatric surgeries performed in 2004 were on reproductive-aged women. Anatomic and physiologic changes resulting from such surgery may have significant clinical implications for preconception, pregnancy, and postpartum care. This review summarizes these issues and the available related literature, and offers guidelines for care of these patients. TARGET AUDIENCE: Obstetricians & Gynecologists, Family Physicians. LEARNING OBJECTIVES: After completion of this article, the reader should be able to recall that bariatric surgery has many anatomic and physiologic changes that potentially will affect future pregnancies, and state that attention to these physiologic changes and attention to potential nutritional deficiencies significantly improves the chances of a good pregnancy outcome.
Obstetrical and Gynecological Survey 09/2007; 62(9):595-604. DOI:10.1097/01.ogx.0000279291.86611.46 · 1.86 Impact Factor
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