Related Experiment Video
Updated: Dec 27, 2025
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Internal Hernia Following Primary Laparoscopic SADI-S: the First Reported Case
Amit Surve1, Daniel Cottam2, Benjamin Horsley1
1Bariatric Medicine Institute, 1046 East 100 South, Salt Lake City, UT, 84102, USA.
Background:
Internal hernias have not been reported with primary laparoscopic single anastomosis duodeno-ileostomy with sleeve gastrectomy (LSADI-S). This is the first reported case of an internal hernia following primary LSADI-S and its surgical treatment.
Case Presentation:
In this video case report, we present a case of a 54-year-old woman with a BMI of 53 kg/m2 who had undergone a primary LSADI-S for morbid obesity. The patient underwent an exploratory laparoscopy for chronic nausea and bile reflux. At surgery, we discovered a Petersen's hernia defect, which was corrected by untwisting the bowel and sewing the space closed (video). A Braun enteroenterostomy was also performed.
Conclusions:
An internal hernia following LSADI-S is rare, despite the unclosed space behind the small bowel mesentery. If they occur, they should not cause ischemia and can be fixed easily using a laparoscopic surgical approach with good postoperative outcomes.
