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Surgery and considerations for the repair of Petersen's space hernia after mini gastric bypass
Borja Camacho Fernández-Pacheco1, Eudaldo López-Tomassetti Fernández1, Juan Ramón Hernández Hernández1
1Department of Gastrointestinal Surgery, Complejo Hospitalario Universitario Insular-Materno Infantil, Avenida Marítima Del Sur, Las Palmas De Gran Canaria, Spain.
Abstract:
This paper reports a case of Petersen's space hernia after mini gastric bypass. This is an anecdotal post-operative complication in the mini gastric bypass technique, with an estimated rate of 1/5000 cases. Similar cases described in the literature were treated by the surgical hernia reduction and the closure of the mesenteric defect. Our patient had a unique management, performing a conversion to Roux-en-Y gastric bypass with dissection of the biliopancreatic limb at the anastomosis and creation of a variable foot-point anastomosis with excellent mid-term post-operative results. This should provide better long-term results as compared to simple mesenteric closure, avoiding the complications of mini gastric bypass technique.
Insights
This case report details a rare Petersen's space hernia complication following mini gastric bypass surgery. The patient underwent a unique conversion to Roux-en-Y gastric bypass, offering potentially superior long-term outcomes.
Area of Science:
- Bariatric Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Petersen's space hernia is a rare but serious post-operative complication of mini gastric bypass.
- The estimated incidence is approximately 1 in 5000 cases.
- Traditional management involves surgical reduction and mesenteric defect closure.
