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Internal Hernia Following Primary Laparoscopic SADI-S: the First Reported Case.

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Internal hernias are rare after laparoscopic single anastomosis duodeno-ileostomy with sleeve gastrectomy (LSADI-S). This case report details the first instance and its successful laparoscopic repair, highlighting good outcomes.

Keywords:
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Area of Science:

  • Bariatric surgery
  • Minimally invasive surgical procedures

Background:

  • Laparoscopic single anastomosis duodeno-ileostomy with sleeve gastrectomy (LSADI-S) is a bariatric procedure.
  • Internal hernias are a known complication of bariatric surgery.

Observation:

  • A 54-year-old woman with a BMI of 53 kg/m2 presented with chronic nausea and bile reflux post-LSADI-S.
  • Exploratory laparoscopy revealed a Petersen's hernia defect.

Findings:

  • The internal hernia was successfully repaired laparoscopically.
  • A Braun enteroenterostomy was performed during the repair.

Implications:

  • Internal hernias, though rare, can occur after LSADI-S.
  • Laparoscopic repair of these hernias is feasible and associated with good outcomes.