Laparoscopic surgery for left paraduodenal hernia.
Paraduodenal hernia is a rare condition but the most common internal hernia. We describe the case of a 51-year-old man who was admitted with a complaint of 2 months' duration of recurrent left lower abdominal pain. Left paraduodenal hernia complicated by bowel malrotation was diagnosed, and the patient underwent laparoscopic surgery since no bowel necrosis was observed. The bowel incarcerated in the hernial sac was reduced, and an Endostitch was used to close the hernial orifice with continuous sutures. The postoperative course was good, and the patient was discharged 7 days after surgery. For paraduodenal hernia without bowel necrosis, particularly a left hernia, reduction of the incarcerated bowel and closure of the hernial orifice are relatively easy in terms of technique, and laparoscopic surgery may be the surgical method of choice because of its minimal invasiveness and aesthetic advantage.
Fukunaga
Masaki
M
Department of Surgery, Juntendo Urayasu Hospital, Juntendo University, Urayasu, Japan. masaki-f@kf6.so-net.ne.jp
Kidokoro
Akio
A
Iba
Toshiaki
T
Sugiyama
Kazuyoshi
K
Fukunaga
Tetsu
T
Nagakari
Kunihiko
K
Suda
Masaru
M
Yosikawa
Seiichirou
S
D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006547:Hernia / Q000000981:diagnostic imaging; D059685:Herniorrhaphy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011859:Radiography