title: Laparoscopic treatment of left paraduodenal hernia in two cases of children.
abstract: BACKGROUND
  The paraduodenal hernia is an internal hernia that might cause a small bowel obstruction. The laparoscopic repair of paraduodenal hernia is sporadically reported for its safety, convenience, and patient's satisfaction.
  
  
  METHODS
  We performed the laparoscopic treatment of the left paraduodenal hernia in two children, a 3-months old boy and 12-year old girl. The girl had a left upper quadrant pain for one month with postprandial nausea after eating. The 3-months boy presented with an intermittent severe irritability. Small bowel series and computed tomography showed the left paraduodenal hernia in two patients. We successfully did the laparoscopic paraduodenal hernia repair using 5mm and 3mm laparoscope. They discharged within 5days, uneventfully.
  
  
  CONCLUSIONS
  Despite of technical difficulties in pediatrics such as small working space and less pneumoperitoneum, the laparoscopic repair for paraduodenal hernia leads to patient's earlier intake of diet and rapid recovery with cosmetic satisfaction. The 3mm laparoscopic repair needs longer operation time, but it is feasible in infants.
  
  
  CONCLUSIONS
  Laparoscopic repair of paraduodenal hernia in children and infants is safe and feasible. We recommend the laparoscopic repair as the first surgical option for paraduodenal hernia.
authors.affiliation: Department of Surgery, Inje University Haeundae Paik hospital, 1435, Jwa-dong, Haeundae-gu, Busan 612-030, Republic of Korea.
authors.forename: So-Hyun
authors.initials: SH
authors.lastname: Nam
authors.forename: Kwan Woo
authors.initials: KW
authors.lastname: Kim
authors.forename: Jin Soo
authors.initials: JS
authors.lastname: Kim
authors.forename: Ki Hoon
authors.initials: KH
authors.lastname: Kim
authors.forename: Sung Jin
authors.initials: SJ
authors.lastname: Park