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Ivanov Yu.V.

Federal Scientific and Clinical Center for Specialized Medical Service and Medical Technologies;
Leading Researcher at Central Research Institute of Tuberculosis

Stankevich V.R.

Federal Research and Clinical Center of Specialized types of Medical Care and Medical Technologies of FMBA of Russia

Sharobaro V.I.

Federal Research and Clinical Center of Specialized types of Medical Care and Medical Technologies of FMBA of Russia

Panchenkov D.N.

Yevdokimov Moscow State University of Medicine and Dentistry of the Russian Federation

Smirnov A.V.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies

Zlobin A.I.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies;
Evdokimov Moscow State University of Medicine and Dentistry

Zvezdkina E.A.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies

Simultaneous surgery for complicated giant post-traumatic phrenic hernia in a patient with morbid obesity and diabetes mellitus type II

Authors:

Ivanov Yu.V., Stankevich V.R., Sharobaro V.I., Panchenkov D.N., Smirnov A.V., Zlobin A.I., Zvezdkina E.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(9): 75‑79

DOI: 10.17116/hirurgia202009175

Views: 1361

Downloaded: 13

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Table of contents

To cite this article:

Ivanov YuV, Stankevich VR, Sharobaro VI, Panchenkov DN, Smirnov AV, Zlobin AI, Zvezdkina EA. Simultaneous surgery for complicated giant post-traumatic phrenic hernia in a patient with morbid obesity and diabetes mellitus type II. Pirogov Russian Journal of Surgery. 2020;(9):75‑79. (In Russ.)
https://doi.org/10.17116/hirurgia202009175

Подписка 2025 (Pirogov Russian Journal of Surgery)
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Surgical treatment of post-traumatic right-sided phrenic hernia is associated with certain technical difficulties due to topographic and anatomical features. Morbid obesity combined with diabetes mellitus type II is one of the main factors complicating any surgical thoracic or abdominal surgery and further rehabilitation. We report simultaneous surgery for complicated post-traumatic right-sided phrenic hernia in a patient with morbid obesity and diabetes mellitus type II. Surgical correction of giant phrenic hernia facilitated further effective treatment of morbid obesity and concomitant diabetes mellitus type II.

Keywords:

morbid obesity
diabetes mellitus type II
phrenic hernia
stomach bypass surgery
phrenic repair
mesh implant

Authors:

Ivanov Yu.V.

Federal Scientific and Clinical Center for Specialized Medical Service and Medical Technologies;
Leading Researcher at Central Research Institute of Tuberculosis

Stankevich V.R.

Federal Research and Clinical Center of Specialized types of Medical Care and Medical Technologies of FMBA of Russia

Sharobaro V.I.

Federal Research and Clinical Center of Specialized types of Medical Care and Medical Technologies of FMBA of Russia

Panchenkov D.N.

Yevdokimov Moscow State University of Medicine and Dentistry of the Russian Federation

Smirnov A.V.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies

Zlobin A.I.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies;
Evdokimov Moscow State University of Medicine and Dentistry

Zvezdkina E.A.

Federal Research and Clinical Center for Specialized Medical Care and Medical Technologies

Received:

15.10.2019

Accepted:

21.11.2019

List of references:

  1. NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017 Dec 16;390(10113):2627-2642. https://doi.org/10.1016/S0140-6736(17)32129-3
  2. Engin A. The Definition and Prevalence of Obesity and Metabolic Syndrome. Adv Exp Med Biol. 2017;960:1-17.  https://doi.org/10.1007/978-3-319-48382-5_1
  3. Pouwels S, Buise MP, Twardowski P, Stepaniak PS, Proczko M. Obesity Surgery and Anesthesiology Risks: a Review of Key Concepts and Related Physiology. Obes Surg. 2019 Aug;29(8):2670-2677. https://doi.org/10.1007/s11695-019-03952-y
  4. Hughes TM, Shah K, Noria S, Pawlik T. Is BMI associated with post-operative complication risk among patients undergoing major abdominal surgery for cancer? A systematic review. J Surg Oncol. 2018 Apr;117(5):1009-1019. https://doi.org/10.1002/jso.24999
  5. Fedorov VD. Extensive and combined operations simultaneously. Khirurgiya. Zhurnal im. NI Pirogova. 1983;3:8-15. (In Russ.).
  6. Liu JB, Ban KA, Berian JR, Hutter MM, Huffman KM, Liu Y, Hoyt DB, Hall BL, Ko CY. Concurrent bariatric operations and association with perioperative outcomes: registry based cohort study. BMJ. 2017 Sep 26;358:j4244. https://doi.org/10.1136/bmj.j4244
  7. Praveen Raj P, Bhattacharya S, Saravana Kumar S, Parthasarathi R, Cumar B, Palanivelu C. Morbid obesity with ventral hernia: is concomitant bariatric surgery with laparoscopic ventral hernia mesh repair the best approach? An experience of over 150 cases. SurgObesRelat Dis. 2019 Jul;15(7): 1098-1103. https://doi.org/10.1016/j.soard.2019.04.027
  8. Hefler J, Dang J, Mocanu V, Switzer N, Birch DW, Karmali S. Concurrent bariatric surgery and paraesophageal hernia repair: an analysis of the Metabolic and Bariatric Surgery Association Quality Improvement Program (MBSAQIP) database. SurgObesRelat Dis. 2019 Sep 5. pii: S1550-7289(19)30406-X.  https://doi.org/10.1016/j.soard.2019.08.025
  9. Doulamis IP, Michalopoulos G, Boikou V, Schizas D, Spartalis E, Menenakos E, Economopoulos KP. Concomitant cholecystectomy during bariatric surgery: The jury is still out. Am J Surg. 2019 Aug;218(2):401-410.  https://doi.org/10.1016/j.amjsurg.2019.02.006

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