Single-Incision Laparoscopic Surgery for Intersigmoid Hernia

Intersigmoid hernia is a rare form of internal hernia. Here, we report a case of intersigmoid hernia and provide a brief review of the 62 cases involving the mesosigmoid reported in Japan from 2000 to 2013. In the current case, a 26-year-old man with no previous history of abdominal surgery presented with abdominal pain and vomiting. Abdominal computed tomography revealed an extensively dilated small bowel and a closed loop of small bowel in the mesosigmoid. The patient was diagnosed with an intestinal obstruction due to an incarcerated internal hernia involving the mesosigmoid. There was no blood flow obstruction at the incarcerated bowel. An elective single-incision laparoscopic surgery was performed after decompression of the bowel using ileus tube. As the ileum herniated into the intersigmoid fossa, the patient was diagnosed with an intersigmoid hernia. The incarcerated small bowel was reduced in order to make it viable, and the hernial defect was closed with interrupted sutures. The patient had an uneventful recovery and was discharged on postoperative day five.

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Single-Incision Laparoscopic Surgery for Undiagnosed Small Bowel Obstruction in a Patient without a History of Abdominal Surgery

Case Reports in Surgery ◽

10.1155/2015/942393 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3

Author(s):

Noriaki Koizumi ◽

Hiroki Kobayashi ◽

Tsuyoshi Takagi ◽

Kanehisa Fukumoto

Keyword(s):

Laparoscopic Surgery ◽

Small Bowel ◽

Abdominal Surgery ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Single Incision ◽

Definitive Diagnosis ◽

Single Incision Laparoscopic Surgery ◽

Umbilical Incision ◽

History Of

We herein report a 66-year-old female patient who developed an undiagnosed small bowel obstruction without a history of prior abdominal surgery and was successfully treated by single-incision laparoscopic surgery. A small bowel obstruction with unknown cause typically requires some sort of surgical treatment in parallel with a definitive diagnosis. Although open abdominal surgery has been generally performed for the treatment of small bowel obstructions, laparoscopic surgery for small bowel obstructions has been increasing in popularity due to its less invasiveness, including fewer postoperative complications and a shorter hospital stay. As a much less invasive therapeutic strategy, we have performed single-incision laparoscopic surgery for the treatment of an undiagnosed small bowel obstruction. We were able to make a definitive diagnosis after sufficient intra-abdominal inspection and to perform enterotomy through a small umbilical incision. Single-incision laparoscopic surgery appears to be comparable to conventional laparoscopic surgery and provides improved cosmesis, although it is an optional strategy only applicable to selected patients.

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Role of single-incision laparoscopic surgery in the management of small bowel obstruction

Surgical Endoscopy ◽

10.1007/s00464-020-07671-9 ◽

2020 ◽

Author(s):

Yozo Suzuki ◽

Mitsuyoshi Tei ◽

Masaki Wakasugi ◽

Toru Masuzawa ◽

Masahisa Ohtsuka ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Single Incision ◽

Single Incision Laparoscopic Surgery

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Left paraduodenal hernia treated by single-incision laparoscopic surgery: a case report

Surgical Case Reports ◽

10.1186/s40792-021-01292-7 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Noboru Hasegawa ◽

Hiroshi Takeyama ◽

Yozo Suzuki ◽

Shingo Noura ◽

Kazuki Odagiri ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Small Bowel ◽

Single Incision ◽

Dorsal Side ◽

Paraduodenal Hernia ◽

Inferior Mesenteric Vein ◽

Single Incision Laparoscopic Surgery ◽

Training School ◽

Case Presentation ◽

Upper Abdominal

Abstract Background Paraduodenal hernia is a rare internal hernia which accounts for only 1% of all intestinal hernias. There have been limited reported cases of paraduodenal hernia treated by laparoscopic surgery. We report a case of left paraduodenal hernia that was successfully treated by single-incision laparoscopic surgery (SILS). Case presentation A 17-year-old woman presented with left upper abdominal pain. An abdominal enhanced multi-detector computed tomography demonstrated encapsulated cluster of small bowel loops in the left upper quadrant which passed through the dorsal side of the inferior mesenteric vein, and showed that blood flow of the prolapsed small bowel was preserved. We preoperatively diagnosed left paraduodenal hernia without ischemia or necrosis. We performed elective SILS because she was a young actress training school student and cosmetic benefit was thought to be important. We pulled out the protruded small bowel and closed a defect with a running suture by SILS. The patient was discharged 3 days after the surgery with no complications. Conclusions We reported the case of left paraduodenal hernia successfully diagnosed and treated by SILS.

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Internal hernia - a rare cause of small bowel obstruction: a case report

International Surgery Journal ◽

10.18203/2349-2902.isj20164485 ◽

2016 ◽

Vol 4 (1) ◽

pp. 427 ◽

Cited By ~ 3

Author(s):

Samir U. Rambhia ◽

Premjeet Madhukar

Keyword(s):

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Internal Hernia ◽

Previous History ◽

Exploratory Laparotomy ◽

Internal Hernias ◽

Post Surgery ◽

History Of ◽

Acute Small Bowel Obstruction

Internal hernia means a protrusion into pouches or openings in the peritoneum or mesentry in contrast to the hernias through defects in the retaining walls of the abdomen. Internal hernias are of many varieties with different classifications and can be congenital or acquired post-surgery. We present a case of a 55 year old female who presented with symptoms of acute small bowel obstruction with previous history of exploratory laparotomy 20 years back for reasons not known to her. Routine blood investigations, chest and abdomen skiagram and a CECT abdomen were performed (which gave no significant clue to diagnosis) and after a failed conservative trial patient was taken for exploration. Intra operatively a gangrenous loop of small bowel was found herniating through a band between the small bowel mesentry and the sigmoid mesocolon, forming a closed loop obstruction. Resection anastomosis of the gangrenous segment along with band transection was performed. The post-operative course was uneventful. Internal herniation as a cause of bowel obstruction should always be kept in mind as a differential.

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Small Bowel Obstruction Caused by Ileal Endometriosis with Appendiceal and Lymph Node Involvement Treated with Single-Incision Laparoscopic Surgery: A Case Report and Review of the Literature

American Journal of Case Reports ◽

10.12659/ajcr.930141 ◽

2021 ◽

Vol 22 ◽

Author(s):

Ryota Koyama ◽

Takeshi Aiyama ◽

Ryoji Yokoyama ◽

Shiro Nakano

Keyword(s):

Case Report ◽

Lymph Node ◽

Laparoscopic Surgery ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Single Incision ◽

Lymph Node Involvement ◽

Single Incision Laparoscopic Surgery ◽

Review Of The Literature ◽

Node Involvement

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Single-Incision Laparoscopic Splenectomy for a Large Non-Traumatic Pseudocyst of the Spleen: A Case Report

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.61381 ◽

2019 ◽

Vol 20 (S1) ◽

Author(s):

Pan Chao-wen ◽

Hsiu-Lung Fan ◽

Chen Ya-Cheng ◽

Guo-Shiou Liao ◽

Mong Fan-Yun ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Laparoscopic Splenectomy ◽

Single Incision ◽

Single Incision Laparoscopic Surgery ◽

Case Presentation ◽

Splenic Cysts ◽

Wound Pain ◽

History Of ◽

Total Splenectomy ◽

Modern Era

Introduction: The incidence of splenic cysts is low, and most are asymptomatic. Symptomatic splenic cysts have rarely been reported. Due to the unspecific clinical and radiologic features, the nature of a cyst is difficult to define in the absence of a history of trauma. Therefore, splenectomy is usually the treatment of choice for obtaining a specimen. In particular, total splenectomy has been the treatment of choice for removal of splenic cysts. Case Presentation: A 25-year-old male patient visited the outpatient department at Tri-Service General Hospital Penghu Branch, Taiwan, with the chief complaint of abdominal fullness. No obvious history of trauma was reported. A series of examinations were performed, and abdominal computed tomography showed one large splenic cyst within the splenic septum. We performed single-incision laparoscopic splenectomy, and the patient recovered well and returned to daily activities one week later. Conclusions: In this modern era of minimally invasive surgery, laparoscopic surgery has reduced postoperative pain and improved recovery, with no increase in complications. Laparoscopic splenectomy has become the trend for the management of splenic cysts. Although single-incision laparoscopic surgery is a technical challenge, better cosmetic results and decreased postoperative wound pain are considered to be superior outcomes compared with those of conventional multi-port laparoscopic surgery.

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