Abstract: Clinical features and choice of surgical approach for inguinal hernia in obese patients           SHI He-kai,GU Yan.Department of General Surgery, Huadong Hospital Affiliated to Fudan University, Shanghai 200040，China
Corresponding author： GU Yan，E-mail:yangu@fudan.edu.cn
Abstract    The incidence of inguinal hernia in obese patients is relatively low， but the recurrence and complications after groin hernia repair are higher than those of normal-weight patients. The rapidly increasing large obese population will inevitably affect the diagnosis and treatment of inguinal hernia patients， but so far there are still relatively few clinical studies on obesity combined with inguinal hernia， and there is a lack of high-level evidence research support. Therefore， based on the existing understanding， it is very important to fully understand the particularity of obesity combined with inguinal hernia， which is very important for improving the diagnosis and treatment effect of patients with obesity combined with inguinal hernia. Individualized selection of anesthesia and surgical procedure based on the patient characteristics， and taking different measures to effectively decrease weight before surgery， is of great significance for improving the treatment effect of groin hernia repair in obese patients and decreasing the occurrence of postoperative complications.

Key words: obesity, groin hernia, metabolic and bariatric surgery

摘要： 肥胖合并腹股沟疝的发病率相对较低，但术后复发与并发症发生高于正常体重人群。目前迅速增加的庞大的肥胖群体必然会影响到腹股沟疝病人的诊治，但迄今有关肥胖合并腹股沟疝的临床研究仍相对较少，缺乏高证据级别研究支持。因此，在现有认识基础上充分了解肥胖合并腹股沟疝的特殊性，对于提高肥胖合并腹股沟疝病人的诊治效果具有非常重要的意义。根据病人的具体情况选择适当的麻醉与手术方式，术前采取各种措施进行有效减重对于提高肥胖合并腹股沟疝病人的治疗效果，降低术后并发症的发生具有重要意义。

关键词: 病态性肥胖, 腹股沟疝, 减肥与代谢手术