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首页> 外文期刊>Journal of Surgical Case Reports >Rhabdomyolysis: An unusual complication following endoscopic component separation hernia repair
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Rhabdomyolysis: An unusual complication following endoscopic component separation hernia repair

机译：横纹肌溶解：内镜下分离疝修补术后的异常并发症

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摘要

Separation of components technique for incisional hernia repair is increasingly utilized as a strategy for hernia repair in both the obese and those with loss of abdominal domain. Endoscopic component separation technique [ECST] is increasingly performed to minimize wound complications associated with the open procedure. We present a case of a patient who developed acute renal failure related to rhabdomyolysis following ECST. A 62-year-old morbidly obese female with BMI of 46 underwent ECST hernia repair for a large midline hernia with loss of domain. Postoperatively, she was found to be oliguric with a dark brown colored urine, elevated serum creatinine and blood urea nitrogen, and increased urine myoglobin levels. She recovered with aggressive hydration and urine alkalinization. We present this unique complication and review the literature.
机译：切开疝修补术的成分分离技术已越来越多地被用作肥胖和腹部功能丧失者的疝修补术。越来越多地采用内窥镜成分分离技术[ECST]，以最大程度减少与开放手术相关的伤口并发症。我们介绍了一名在ECST后发生与横纹肌溶解有关的急性肾衰竭的患者的病例。一名62岁，BMI为46的病态肥胖女性接受了ECST疝修补术，以治疗大中线疝并丧失视域。术后发现她尿少，尿液呈深棕色，血清肌酐和血尿素氮升高，尿肌红蛋白水平升高。她恢复了积极的水合作用和尿碱化。我们提出了这种独特的并发症并回顾了文献。

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