LAPAROSCOPIC REPAIR OF A PARADUODENAL HERNIA

Citation
T. Uematsu et al., LAPAROSCOPIC REPAIR OF A PARADUODENAL HERNIA, Surgical endoscopy, 12(1), 1998, pp. 50-52
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
ISSN journal
0930-2794
Volume
12
Issue
1
Year of publication
1998
Pages
50 - 52
Database
ISI
SICI code
0930-2794(1998)12:1<50:LROAPH>2.0.ZU;2-U
Abstract
Paraduodenal hernias have traditionally been treated by conventional l aparotomy, We report the first case of a left paraduodenal hernia trea ted laparoscopically, A 44-year-old man was admitted with abdominal pa in and nausea, Computed tomography and an upper gastrointestinal serie s with small-bowel followthrough showed accumulation of the small bowe l on the left side of the abdomen, A laparoscopic repair was performed , The small bowel was observed beneath a thin hernia capsule, Approxim ately 1.5 m of jejunum was easily reduced into the abdominal cavity. T he hernia orifice (5-cm diameter) was closed intracorporeally with fiv e interrupted sutures, Good exposure of the operative field is critica l to this procedure, poor exposure may limit the applicability of the laparoscopic approach. This minimally invasive operation is currently indicated in nonobstructive paraduodenal hernias, especially on tile l eft.