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

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Noboru Hasegawa ◽  
Hiroshi Takeyama ◽  
Yozo Suzuki ◽  
Shingo Noura ◽  
Kazuki Odagiri ◽  
...  

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.

2021 ◽  
Vol 105 (1-3) ◽  
pp. 49-53
Author(s):  
Hideki Osawa ◽  
Junichi Nishimura ◽  
Yoshiyuki Motoki ◽  
Masaaki Miyo ◽  
Yozo Suzuki ◽  
...  

Paraduodenal hernia is traditionally repaired via conventional laparotomy. Recently, several reports described the repair of paraduodenal hernia via laparoscopic surgery with multiple ports. Due to development of the technique and devices for laparoscopic surgery, single-incision laparoscopic surgery (SILS) has been applied to various operations, including cholecystectomy, appendectomy, and procedures for colorectal cancer. Here, we report treatment of a left paraduodenal hernia via SILS. A 23-year-old man presented with abrupt onset of abdominal pain, nausea, and vomiting. Computed tomography revealed a mass of intestinal loops enveloped by a thin capsule on the left of the abdominal cavity. Blood circulation in the jejunal loops was preserved, and no dilatation of the jejunum was observed. Physical and radiographic examination indicated the possibility of left paraduodenal hernia; we performed paraduodenal hernia repair using SILS. After we confirmed that there was no strangulation or gangrenous change in the bowel on laparoscopic examination, we reduced the incarcerated jejunum loops via an atraumatic method. The postoperative course was uneventful, and the patient was discharged 8 days after the operation. This disease affects relatively young patients, rendering this operation attractive from the viewpoint of cosmetic benefits and minimal invasion. Paraduodenal hernia repair via SILS is feasible, safe, and may constitute an alternative method for paraduodenal hernia without necrotic change.


Author(s):  
Yozo Suzuki ◽  
Mitsuyoshi Tei ◽  
Masaki Wakasugi ◽  
Toru Masuzawa ◽  
Masahisa Ohtsuka ◽  
...  

2019 ◽  
Vol 20 (S1) ◽  
Author(s):  
Pan Chao-wen ◽  
Hsiu-Lung Fan ◽  
Chen Ya-Cheng ◽  
Guo-Shiou Liao ◽  
Mong Fan-Yun ◽  
...  

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.


2014 ◽  
Vol 17 (2) ◽  
pp. 26-29 ◽  
Author(s):  
Jung-Young Ahn ◽  
Eun-Young Kim ◽  
Bong-Hyeon Kye ◽  
Hyung-Jin Kim ◽  
Hyeon-Min Cho

2012 ◽  
Vol 78 (12) ◽  
pp. 513-514
Author(s):  
Yusuke Watanabe ◽  
Daisuke Yamada ◽  
Kiichiro Kobayashi ◽  
Shinichiro Ryu ◽  
Yoshio Akashi ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Takahiro Watanabe ◽  
Hidetoshi Wada ◽  
Masanori Sato ◽  
Yuichirou Miyaki ◽  
Norihiko Shiiya

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.


Author(s):  
Hiroyuki Anzai ◽  
Tunehiko Maruyama ◽  
Yuzo Nagai ◽  
Akihiro Sako ◽  
Kazumitu Ueda ◽  
...  

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