, Volume 28, Issue 12, pp 1739-1741
Date: 08 Jun 2013

Laparoscopic repair of internal hernia following laparoscopic anterior resection

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Dear Editor:

Internal herniation of small bowel through a mesenteric defect resulting in small-bowel obstruction (SBO) is a serious but uncommon complication following laparoscopic surgery. Postoperative internal hernia is a well-recognised complication after laparoscopic Roux-en-Y gastric bypass and has been described following other laparoscopic abdominal procedures such as laparoscopic nephrectomy, laparoscopic Nissen fundoplication and laparoscopic gynaecological surgery.

The increasing use of laparoscopy for both benign and malignant colorectal pathologies has resulted in an increase in the reporting of complicated internal herniation, with most cases described following left-sided colorectal resections. In the literature to date, 11 cases of internal herniation of small bowel beneath the neo-descending colon have been reported [1, 2]. While laparoscopy also has an established role in the management of acute SBO with multiple advantages including decreased length of stay and faster ...