Related Experiment Video
Updated: Jun 30, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Clinical spectrum of internal hernia: a surgical emergency
Hsiu-Ping Fan1, Albert D Yang, Yu-Jun Chang
1Department of Emergency Medicine, Show Chwan Memorial Hospital, Changhua, Taiwan.
Purpose:
To define the indicators of bowel ischemia caused by congenital or acquired internal hernia, based on our 10-year experience in one center.
Methods:
We reviewed the medical records, imaging studies, and operative findings of 20 patients who underwent surgery for an internal hernia at our medical center between 1995 and 2005. The clinical characteristics and related indicators of the patients with, and those without bowel ischemia were compared and analyzed statistically.
Results:
The subtypes of congenital internal hernia (CIH) included transmesenteric (n = 6, 60%), paraduodenal (n = 2, 20%), and pericecal (n = 2, 20%) hernia. The abdominal surgical procedures preceding acquired internal hernia (AIH) were Roux-en-Y anastomosis (n = 6, 60%) and appendectomy (n = 3, 30%). Transmesenteric hernia was the most prevalent type of CIH in children. Abdominal rebound tenderness, advanced leukocytosis (>18 000/mm(3)), or a high level of manual band form (>6%) were the positive predictive factors for bowel ischemia, whereas a history of chronic intermittent abdominal pain was a negative indicator. No recurrence was noted during the 10-year study period. The overall mortality rate was 20%, attributable to enteral bacteria sepsis in all cases.
Conclusion:
Internal hernia is a rare but lethal condition. Early diagnosis and prompt surgical intervention provide the only chance of a successful outcome.
Related Concept Videos
Hiatal Hernia
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Intestinal Obstruction I: Introduction
Appendicitis
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Herniated Intervertebral Disc l: Introduction
