López CJA, Guzmán CF, Medina RJA, Aguilar DE, Cabral ES

Language: Spanish
References: 7
Page: 217-220
PDF size: 180.22 Kb.

ABSTRACT

Introduction: MU ulcer after GBYR is reported in 6% of patients, of which 1% are perforated. The surgical approach of choice in these patients is laparoscopic. Reoperating a patient urgently with a laparoscopic approach in the immediate postoperative period of cosmetic surgery, such as tummy tuck abdominoplasty, involves a great challenge for both timely diagnosis and approach.One of the complications of the Roux-en-Y gastric bypass surgery (GBYR) in bariatric surgery is the marginal ulcer (MU), being the perforation that leads the patient to emergency surgery. We present a case report of perforated marginal ulcer (PMU) in a patient with a history of GBYR 2 years ago, in his immediate post-surgical. Surgical treatment with an unconventional laparoscopic approach is decided by dismantling a tummy tuck and placing work ports directly on the aponeurosis. Conclusion: We recommend in a patient with GBYR and MPU in immediate post-surgical abdominoplasty the dismantling of the dermogreasy flap and removal of rectus plication to perform the laparoscopic approach directly on the aponeurosis.

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