Laparoscopic treatment of left paraduodenal hernia in two cases of children
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Published on: September 11, 2021
So-Hyun Nam1, Kwan Woo Kim, Jin Soo Kim
1Department of Surgery, Inje University Haeundae Paik hospital, 1435, Jwa-dong, Haeundae-gu, Busan 612-030, Republic of Korea.
Insights
Laparoscopic repair of paraduodenal hernias is a safe and effective treatment for children and infants. This minimally invasive approach offers rapid recovery and cosmetic benefits, making it the recommended surgical option.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Paraduodenal hernia is a type of internal hernia that can lead to small bowel obstruction.
- Laparoscopic repair of paraduodenal hernia is infrequently documented but offers benefits like safety, convenience, and patient satisfaction.
Purpose of the Study:
- To evaluate the safety and feasibility of laparoscopic repair for left paraduodenal hernia in pediatric patients.
- To assess the outcomes of laparoscopic paraduodenal hernia repair in infants and children.
Main Methods:
- Laparoscopic repair of left paraduodenal hernia was performed in two pediatric patients: a 3-month-old boy and a 12-year-old girl.
- Diagnostic imaging included small bowel series and computed tomography to confirm the hernia.
- Procedures utilized 5mm and 3mm laparoscopes, with the latter requiring a longer operative time but proving feasible in infants.
Main Results:
- Both patients underwent successful laparoscopic paraduodenal hernia repair.
- Patients were discharged within 5 days post-operation with no complications.
- The laparoscopic approach facilitated earlier diet intake and rapid recovery.
Conclusions:
- Laparoscopic repair of paraduodenal hernia is a safe and feasible surgical option for children and infants.
- Despite pediatric challenges like small working spaces, this method provides rapid recovery and cosmetic satisfaction.
- Laparoscopic repair is recommended as the primary surgical choice for pediatric paraduodenal hernias.
Introduction:
The paraduodenal hernia is an internal hernia that might cause a small bowel obstruction. The laparoscopic repair of paraduodenal hernia is sporadically reported for its safety, convenience, and patient's satisfaction.
Presentation Of Case:
We performed the laparoscopic treatment of the left paraduodenal hernia in two children, a 3-months old boy and 12-year old girl. The girl had a left upper quadrant pain for one month with postprandial nausea after eating. The 3-months boy presented with an intermittent severe irritability. Small bowel series and computed tomography showed the left paraduodenal hernia in two patients. We successfully did the laparoscopic paraduodenal hernia repair using 5mm and 3mm laparoscope. They discharged within 5days, uneventfully.
Discussion:
Despite of technical difficulties in pediatrics such as small working space and less pneumoperitoneum, the laparoscopic repair for paraduodenal hernia leads to patient's earlier intake of diet and rapid recovery with cosmetic satisfaction. The 3mm laparoscopic repair needs longer operation time, but it is feasible in infants.
Conclusion:
Laparoscopic repair of paraduodenal hernia in children and infants is safe and feasible. We recommend the laparoscopic repair as the first surgical option for paraduodenal hernia.
