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Less invasive treatment for broad ligament hernia: A case report
Tetsuo Sugishita1, Shunsuke Kato1, Aoi Ishikawa1
1Department of Surgery, Musashino Red Cross Hospital, 1-26-1, Kyounanchou, Musashino-city, Tokyo, Japan.
International Journal of Surgery Case Reports
|July 22, 2020
Summary
Broad ligament hernias causing small bowel obstruction can be treated with less invasive laparoscopic surgery after intestinal decompression. Accurate CT scans are crucial for diagnosis and surgical planning.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Abdominal Imaging
Background:
- Internal hernias are a significant cause of small bowel obstruction, often necessitating invasive emergency laparotomy.
- Broad ligament hernias represent a rare subtype of internal hernia.
- Minimally invasive approaches are desirable for treating internal hernias.
Observation:
- A 71-year-old woman presented with symptoms of small bowel obstruction.
- Abdominal computed tomography (CT) identified a broad ligament hernia without signs of intestinal ischemia.
- The patient underwent successful intestinal decompression using an ileus tube followed by laparoscopic surgery.
Findings:
- Laparoscopic surgery is a viable and less invasive option for treating broad ligament hernias.
- Preoperative CT is essential for diagnosing internal hernias and assessing for intestinal ischemia.
- Intestinal decompression prior to surgery can facilitate a smoother laparoscopic procedure.
Implications:
- Accurate CT diagnosis is critical for selecting appropriate surgical management for internal hernias.
- Less invasive laparoscopic surgery can be safely performed for internal hernias when ischemia is absent.
- Identifying the specific cause of internal hernia aids in surgical planning and improves patient outcomes.
