Résumé
Adolescent is a special group which is still at the period of growth and development. Protecting reproductive function, reducing recurrence and chronic postoperative inguinal pain are the key points of treatment of inguinal hernia in adolescents. Although there are different surgical treatments for inguinal hernia in adolescents at present, the characteristics of biological mesh which can promote tissue regeneration and remodeling make them valuable for inguinal hernia repair in adolescents. Correct selection and implementation of biological mesh inguinal hernia repair are important to ensure the effect of adolescent inguinal hernia repair.
Résumé
<p><b>OBJECTIVE</b>To report the experience with laparoscopic sleeve gastrectomy as a bariatric surgery in our center.</p><p><b>METHODS</b>Twenty obese patients were followed up for 1 year after receiving laparoscopic sleeve gastrectomy as a bariatric surgery in our center from January 2009 to October 2010, during which their general conditions, complications, and improvement of obesity-related diseases were assessed.</p><p><b>RESULTS</b>Of the 20 patients, 19 underwent laparoscopic sleeve gastrectomy and 1 underwent open sleeve gastrectomy with no death occurred. The average weight loss was 36.4±10.0 kg, the average BMI decreased from 46.1±11.5 to 33.6±5.6 kg/m2, and the excess weight loss was 55.9%±14.2% one year after the operation. The majority of obesity-related diseases were improved. In one year after the operation, excellent, good, fairly good and poor scores were achieved in 2 (10.0%), 8 (40.0%), 7 (35.0%), and 3 patients (15.0%), respectively.</p><p><b>CONCLUSION</b>Laparoscopic sleeve gastrectomy as a bariatric surgery is a safe and feasible procedure for obesity with excellent short-term effects. More studies with a long-term follow-up are needed to validate its benefits.</p>