Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques
Internal hernias are an uncommon cause of small bowel obstruction and present a challenging clinical diagnostic scenario. They result from the abnormal protrusion of an abdominal organ through a peritoneal defect and can cause intermittent obstructive symptoms, diffuse abdominal discomfort, and post...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/7569530 |
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| _version_ | 1832547727548874752 |
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| author | Muhonen John Hsu Michael Sturdivant Matthew Unger Anthony Dexter David Giuseppucci Pablo Esper Christopher |
| author_facet | Muhonen John Hsu Michael Sturdivant Matthew Unger Anthony Dexter David Giuseppucci Pablo Esper Christopher |
| author_sort | Muhonen John |
| collection | DOAJ |
| description | Internal hernias are an uncommon cause of small bowel obstruction and present a challenging clinical diagnostic scenario. They result from the abnormal protrusion of an abdominal organ through a peritoneal defect and can cause intermittent obstructive symptoms, diffuse abdominal discomfort, and postprandial pain. Paraduodenal hernias comprise 53% of all internal hernias 1 and occur due to failure of the fixation of either the left or transverse mesocolon to the posterior abdominal wall. Its relative rarity results in mortality between 20 and 50% 2 because of delayed diagnosis and consequent obstruction, strangulation, and bowel ischemia. Our case series describes three patients before and after operative fixation of paraduodenal hernia. Only one of the three was identified by preoperative radiologist interpretation. Subsequent diagnosis and definitive treatment were completed by surgical staff to resolve undiagnosed undulating abdominal pain and obstructive-type symptoms. We further analyze left-sided paraduodenal hernias after laparoscopic and robotic repair to define common symptomatology, typical CT findings, and preferred laparoscopic repair techniques. |
| format | Article |
| id | doaj-art-ad9419c68cb644568e37ecf452bc9469 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ad9419c68cb644568e37ecf452bc94692025-02-03T06:43:38ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/75695307569530Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic TechniquesMuhonen John0Hsu Michael1Sturdivant Matthew2Unger Anthony3Dexter David4Giuseppucci Pablo5Esper Christopher6UPMC Horizon, Farrell, PA, USAUPMC Horizon, Farrell, PA, USAUPMC Horizon, Farrell, PA, USALECOM, Erie, PA, USAUPMC Hamot, Erie, PA, USAUPMC Horizon, Farrell, PA, USAUPMC Horizon, Farrell, PA, USAInternal hernias are an uncommon cause of small bowel obstruction and present a challenging clinical diagnostic scenario. They result from the abnormal protrusion of an abdominal organ through a peritoneal defect and can cause intermittent obstructive symptoms, diffuse abdominal discomfort, and postprandial pain. Paraduodenal hernias comprise 53% of all internal hernias 1 and occur due to failure of the fixation of either the left or transverse mesocolon to the posterior abdominal wall. Its relative rarity results in mortality between 20 and 50% 2 because of delayed diagnosis and consequent obstruction, strangulation, and bowel ischemia. Our case series describes three patients before and after operative fixation of paraduodenal hernia. Only one of the three was identified by preoperative radiologist interpretation. Subsequent diagnosis and definitive treatment were completed by surgical staff to resolve undiagnosed undulating abdominal pain and obstructive-type symptoms. We further analyze left-sided paraduodenal hernias after laparoscopic and robotic repair to define common symptomatology, typical CT findings, and preferred laparoscopic repair techniques.http://dx.doi.org/10.1155/2020/7569530 |
| spellingShingle | Muhonen John Hsu Michael Sturdivant Matthew Unger Anthony Dexter David Giuseppucci Pablo Esper Christopher Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques Case Reports in Surgery |
| title | Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques |
| title_full | Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques |
| title_fullStr | Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques |
| title_full_unstemmed | Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques |
| title_short | Identification and Repair of Left-Sided Paraduodenal Hernia Using Both Laparoscopic and Robotic Techniques |
| title_sort | identification and repair of left sided paraduodenal hernia using both laparoscopic and robotic techniques |
| url | http://dx.doi.org/10.1155/2020/7569530 |
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