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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Left laparoscopic paraduodenal hernia repair
Abed Khalaileh1, Avraham Schlager, Miklosh Bala
1Department of Surgery, Hadassah Hebrew University Medical Center, Kiryat Hadassah, POB 12000, 91120 Jerusalem, Israel. Abedk@ekmd.huji.ac.il
Surgical Endoscopy
|January 8, 2010
Summary
Laparoscopic repair of paraduodenal hernia is a safe and feasible option for select patients. This minimally invasive approach is increasingly used for internal hernias and other causes of small bowel obstruction.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Anatomy
Background:
- Internal hernias involve bowel protrusion through peritoneal or mesenteric defects.
- Paraduodenal hernias are the most common congenital internal hernias, accounting for 53% of cases.
- Laparoscopic techniques are increasingly adopted for surgical procedures.
Observation:
- A case of left paraduodenal hernia repair using laparoscopy is presented.
- A literature review identified 14 additional cases of laparoscopic paraduodenal hernia repair.
- Left-sided hernias constituted 73% of the reviewed cases.
Findings:
- Hernia defect closure was performed in 77% of described repairs.
- An internal mesenteric vein injury (6.7%) and a recurrence (6.7%) were reported.
- The recurrence occurred in a patient who underwent direct defect closure.
Implications:
- Laparoscopic repair of paraduodenal hernias is safe and feasible for selected patients.
- Increasing surgeon comfort with laparoscopy will likely lead to wider adoption for internal hernias.
- Minimally invasive surgery offers a promising alternative for managing small bowel obstruction.
