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 "
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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.
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ABSTRACT: Extreme obesity remains a frustrating and formidable disease, with most sufferers requiring surgical intervention in order to achieve long-term, sustained weight loss. Most bariatric procedures today are performed on women, many of whom are of reproductive age; yet minimal evidence exists to guide clinicians in the care of such women before, during, and after pregnancy. This review outlines the fundamental nutritional and surgical alterations of the most commonly performed bariatric procedures with the aim to elucidate a physiologically sound approach to counseling and management of extremely obese women of childbearing age who are either contemplating or have already undergone bariatric surgery. Preconception, pregnancy, and lactation guidelines are offered based on available evidence. Outstanding questions are highlighted for further investigation.
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