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Obesity Surgery

, Volume 15, Issue 9, pp 1336–1340 | Cite as

Closure of the Abdominal Cavity after Severe Peritonitis in Bariatric Surgery Utilizing a Mesh and Plastic Device

  • João Eduardo Marques Tavares de Menezes Ettinger
  • Euler Azaro
  • Paulo Vicente dos Santos Filho
  • Carlos Augusto Bastos Mello
  • Antonio Jorge Barretto Pereira
  • Edvaldo Fahel
Article

The major cause of peritonitis in bariatric surgery is leakage of GI contents, which can have a catastrophic outcome for the bariatric patient. To resolve this serious problem, the surgeon must act quickly. This paper describes a 27-year-old female after gastric bypass with disruption of the gastroenterostomy and severe contamination and peritonitis. Closure of the anastomotic leak, drainage, and gastrostomy in the bypassed stomach were performed, but the abdomen could not be closed, due to dilated bowel and the intra-abdominal edema with the sepsis. Temporary laparostomy closure was performed; a plastic sheet with an overlying mesh was sutured to the fascial margins. Planned multiple reoperations permitted removal of necrotic and infected debris, with progressive approximation and ultimate closure of the fascia. This treatment resulted in a successful outcome for the patient.

MORBID OBESITY BARIATRIC SURGERY PERITONITIS SEPSIS LAPAROSTOMY 

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Copyright information

© Springer 2005

Authors and Affiliations

  • João Eduardo Marques Tavares de Menezes Ettinger
    • Euler Azaro
      • Paulo Vicente dos Santos Filho
        • Carlos Augusto Bastos Mello
          • Antonio Jorge Barretto Pereira
            • Edvaldo Fahel

              There are no affiliations available

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