Beijing Chaoyang Hospital: Solving a BMI 43.8 Giant Hernia Crisis via Staged Surgery

🩺 The Challenge: A Complex Abdominal Crisis

45-year-old female, 125kg, BMI 43.8.

Giant 21cm x 14cm defect with massive intestinal protrusion.

History of 4 surgeries; severe abdominal adhesions.
Extreme intra-abdominal pressure left no room for error.
⚖️ Expert Strategy: Why Staged Surgery?

Simultaneous repair carries high risks of cardiac failure and recurrence.

The team chose a staged approach: Reduce weight first, repair later.

This strategy prioritizes patient safety and long-term success.

🛠️ Execution: Precision and Innovation

Professor Han Jiagang's team utilized a non-standard port entry.

Ports were placed in healthy tissue, bypassing the hernia zone.

The 60-minute sleeve gastrectomy was completed with minimal stress.

✨ Insight: Safety First

This case establishes a clear clinical pathway for complex hernia management.

Staged surgery transforms high-risk cases into manageable, safe procedures.