Laparoscopic repair of a paraduodenal hernia.
Paraduodenal hernias have traditionally been treated by conventional laparotomy. We report the first case of a left paraduodenal hernia treated laparoscopically. A 44-year-old man was admitted with abdominal pain and nausea. Computed tomography and an upper gastrointestinal series with small-bowel followthrough showed accumulation of the small bowel on the left side of the abdomen. A laparoscopic repair was performed. The small bowel was observed beneath a thin hernia capsule. Approximately 1.5 m of jejunum was easily reduced into the abdominal cavity. The hernia orifice (5-cm diameter) was closed intracorporeally with five interrupted sutures. Good exposure of the operative field is critical to this procedure; poor exposure may limit the applicability of the laparoscopic approach. This minimally invasive operation is currently indicated in nonobstructive paraduodenal hernias, especially on the left.
Uematsu
T
T
Department of Surgery, Iwata Municipal General Hospital, Japan.
Kitamura
H
H
Iwase
M
M
Yamashita
K
K
Ogura
H
H
Nakamuka
T
T
Oguri
H
H
D000328:Adult; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006547:Hernia / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D014057:Tomography, X-Ray Computed