scholarly journals Left Paraduodenal Hernia Treated With Single-Incision Laparoscopic Surgery: Report of a Case

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.

2012 ◽  
Vol 2 ◽  
pp. 137-139
Author(s):  
Wiesław Pesta ◽  
Waldemar Kurpiewski ◽  
Magdalena Łuba ◽  
Rafał Szynkarczuk ◽  
Radosław Grabysa

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.


2009 ◽  
Vol 23 (4) ◽  
pp. 920-921 ◽  
Author(s):  
Jaksa Filipovic-Cugura ◽  
Iva Kirac ◽  
Tomislav Kulis ◽  
Josip Jankovic ◽  
Miroslav Bekavac-Beslin

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Kunitaka Kuramoto ◽  
Osamu Nakahara ◽  
Yuto Maeda ◽  
Sayahito Kumamoto ◽  
Akira Tsuji ◽  
...  

Abstract A 65-year-old male patient presented with a chief complaint of abdominal pain. Abdominal computed tomography (CT) showed slight intestinal dilation and obstruction of the upper right quadrant of the small intestine, while ectopic gastric mucosal scintigraphy revealed abnormal accumulation in agreement with the CT-identified structure. The cause of bowel obstruction was diagnosed as Meckel’s diverticulum; the patient was referred for surgery. A small laparotomy was performed with a 35-mm skin incision to the center of the navel. Once a lap disk was attached, a laparoscope was inserted to visualize the abdominal cavity. The small intestine that includes the structure was pulled out from the umbilicus to the outside of the peritoneal cavity and partially resected. On the pathological tissue findings, the patient was diagnosed with Meckel’s diverticulum. We report our experience with single-lap laparoscopic surgery for a case of intestinal obstruction caused by Meckel’s diverticulum and review pertinent literature.


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