Advertisement

Left laparoscopic paraduodenal hernia repair

  • 273 Accesses

  • 15 Citations

Abstract

Background

An internal hernia is a protrusion of bowel through a normal or abnormal orifice in the peritoneum or mesentery. Paraduodenal hernia is by far the most common form of congenital internal hernia, making up 53% of all reported cases. In recent years, as surgeons have become more comfortable with laparoscopic techniques, they are performing an increasing number of these procedures laparoscopically.

Methods

To highlight the technical steps of this technique, the case of a patient with a left paraduodenal hernia and a video of the laparoscopic repair are presented. Additionally, a PubMed search of the English medical literature was conducted using the search words “laparoscopic,” “paraduodenal,” and “hernia” as filters. The cases of laparoscopic paraduodenal hernia repair in the literature to date recording data on technique, complications, and hospital course were reviewed.

Results

In addition to the case described in this report, 14 cases of laparoscopic paraduodenal hernia were described in 10 published reports. Of the 15 cases, 11 (73%) were left-sided, likely representing the relative incidence of these cases. The hernia defect was closed in 10 (77%) of the 13 cases for which the repair method was described, whereas the defect was widely opened in the remaining cases. One report described an operative complication (6.7%), an internal mesenteric vein injury, and one recurrence (6.7%) occurred 18 months after surgery in the direct defect closure group.

Conclusion

The current data lead to the conclusion that laparoscopic paraduodenal hernia repair is a safe and feasible approach for selected patients. It can be expected that as surgeons become increasingly comfortable and facile with laparoscopic techniques, paraduodenal hernias and many other causes of acute small bowel obstruction will be increasingly managed laparoscopically.

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

References

  1. 1.

    Yoo HY, Mergelas J, Seibert DG (2000) Paraduodenal hernia: a treatable cause of upper gastrointestinal tract symptoms. J Clin Gastroenterol 31:226–229

  2. 2.

    Estrada RL (1982) The paraduodenal hernias. Can J Surg 25:7–8

  3. 3.

    Zonca P, Maly T, Mole DJ, Stigler J (2008) Treitz’s hernia. Hernia 12:531–534

  4. 4.

    Martin LC, Merkle EM, Thompson WM (2006) Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol 186:703–717

  5. 5.

    Uchiyama S, Imamura N, Hidaka H, Maehara N, Nagaike K, Ikenaga N, Hotokezaka M, Chijiiwa K (2009) An unusual variant of a left paraduodenal hernia diagnosed and treated by laparoscopic surgery: report of a case. Surg Today 39:533–535

  6. 6.

    Poultsides GA, Zani S, Bloom GP, Tishler DS (2009) Image of the month: left paraduodenal hernia. Arch Surg 144:287–288

  7. 7.

    Jeong GA, Cho GS, Kim HC, Shin EJ, Song OP (2008) Laparoscopic repair of paraduodenal hernia: comparison with conventional open repair. Surg Laparosc Endosc Percutan Tech 18:611–615

  8. 8.

    Palanivelu C, Rangarajan M, Jategaonkar PA, Anand NV, Senthilkumar K (2008) Laparoscopic management of paraduodenal hernias: mesh and mesh-less repairs: a report of four cases. Hernia 12:649–653

  9. 9.

    Dassinger MS, Eubanks JW (2007) Laparoscopic repair of a right paraduodenal hernia in a child. JSLS 11:266–267

  10. 10.

    Moon CH, Chung MH, Lin KM (2006) Diagnostic laparoscopy and laparoscopic repair of a left paraduodenal hernia can shorten hospital stay. JSLS 10:90–93

  11. 11.

    Fukunaga M, Kidokoro A, Iba T, Sugiyama K, Fukunaga T, Nagakari K, Suda M, Yosikawa S (2004) Laparoscopic surgery for left paraduodenal hernia. J Laparoendosc Adv Surg Tech A 14:111–115

  12. 12.

    Antedomenico E, Singh NN, Zagorski SM, Dwyer K, Chung MH (2004) Laparoscopic repair of a right paraduodenal hernia. Surg Endosc 18:165–166

  13. 13.

    Finck CM, Barker S, Simon H, Marx W (2000) A novel diagnosis of left paraduodenal hernia through laparoscopy. Surg Endosc 14:87

  14. 14.

    Uematsu T, Kitamura H, Iwase M, Yamashita K, Ogura H, Nakamuka T, Oguri H (1998) Laparoscopic repair of a paraduodenal hernia. Surg Endosc 12:50–52

Download references

Disclosures

Abed Khalaileh, Avraham Schlager, Miklosh Bala, Samir Abugazala, Avraham I. Rivkind, and Yoav Mintz have no conflict of interests or financial ties to disclose.

Author information

Correspondence to Abed Khalaileh.

Additional information

An erratum to this article can be found at http://dx.doi.org/10.1007/s00464-011-2100-8

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MPG 61766 kb)

Supplementary material 1 (MPG 61766 kb)

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Khalaileh, A., Schlager, A., Bala, M. et al. Left laparoscopic paraduodenal hernia repair. Surg Endosc 24, 1486–1489 (2010). https://doi.org/10.1007/s00464-009-0794-7

Download citation

Keywords

  • Laparoscopic hernia repair
  • Paraduodenal hernia