Emergency laparoscopic approach without sufficient preoperative decompression for intersigmoid hernia: A case report

Area of Science:

• General Surgery
• Minimally Invasive Surgery

Background:

• Laparoscopic surgery is increasingly used for small bowel obstruction.
• Intersigmoid hernia is a rare condition.
• Laparoscopic approaches offer simultaneous diagnosis and intervention for hernias.

Purpose of the Study:

• To report a case of emergency laparoscopic surgery for intersigmoid hernia without sufficient preoperative decompression.
• To highlight the feasibility and success of this approach.

Main Methods:

• Emergency laparoscopic approach for a patient with intersigmoid hernia.
• No sufficient preoperative small bowel decompression was performed.
• Disease-specific surgical strategy and technique were employed.

Main Results:

• Successful laparoscopic diagnosis and surgical intervention for intersigmoid hernia.
• The procedure was performed safely despite challenges in visualization due to lack of decompression.
• The patient experienced an uneventful postoperative course.

Conclusions:

• Emergency laparoscopic surgery for intersigmoid hernia is achievable without sufficient preoperative decompression.
• Careful preoperative diagnosis and tailored surgical strategy are crucial for successful outcomes.
• Advances in imaging, like multidetector-row computed tomography, aid in diagnosis and planning.