Incarcerated internal hernia of the small intestine through a re-approximated peritoneum after a trans-abdominal pre-peritoneal procedure--apropos of two cases: review of the literature.
A description of two cases of internal herniation caused by a defect in the closure of the peritoneal flap during a trans-abdominal pre-peritoneal procedure is presented here. They were both successfully treated laparoscopically. This rare condition should be considered when patients who have had recent trans-abdominal surgery for inguinal hernia repair present with colicky lower abdominal pain--its aetiology may well be due to technical error. It is already established that laparoscopy is useful as a diagnostic and therapeutic tool in emergency cases, but it is also true that it is useful in case of early post-operative period complications following any laparoscopic procedure, such as the laparoscopic inguinal hernia repair.
Agresta
F
F
Department of General Surgery, Presidio Ospedaliero, Via Forlanini, 71, 31029, Vittorio Veneto (TV), Italy. fagresta@libero.it
Mazzarolo
G
G
Bedin
N
N
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006547:Hernia / Q000150:complications*; D006552:Hernia, Inguinal / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000209:etiology*; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D055815:Young Adult