title: Foramen of Winslow hernia: a minimally invasive approach.
abstract: Hernias through the foramen of Winslow comprise 8 % of all internal hernias and the majority contain incarcerated bowel. Clinical signs are often non-specific and delay in diagnosis associated with a mortality rate that approaches 50 %. Management is urgent surgical reduction with bowel decompression and resection of devitalized bowel. A foramen of Winslow hernia (FWH) has traditionally been managed via an exploratory laparotomy incision and the vast majority of cases describe an open approach. We describe a minimally invasive approach to the management of an incarcerated FWH requiring decompression and bowel resection.
authors.affiliation: Department of Surgery, Center for the Future of Surgery, University of California, San Diego, San Diego, CA, USA, charnsberger@ucsd.edu.
authors.forename: Cristina R
authors.initials: CR
authors.lastname: Harnsberger
authors.forename: Elisabeth C
authors.initials: EC
authors.lastname: McLemore
authors.forename: Ryan C
authors.initials: RC
authors.lastname: Broderick
authors.forename: Hans F
authors.initials: HF
authors.lastname: Fuchs
authors.forename: Peter T
authors.initials: PT
authors.lastname: Yu
authors.forename: Martin
authors.initials: M
authors.lastname: Berducci
authors.forename: Catherine
authors.initials: C
authors.lastname: Beck
authors.forename: Moneer
authors.initials: M
authors.lastname: Almadani
authors.forename: Garth R
authors.initials: GR
authors.lastname: Jacobsen
authors.forename: Santiago
authors.initials: S
authors.lastname: Horgan
mesh_terms: D002432:Cecum / Q000098:blood supply / Q000601:surgery; D003082:Colectomy / Q000379:methods; D003106:Colon / Q000098:blood supply / Q000601:surgery; D019299:Decompression, Surgical / Q000295:instrumentation* / Q000379:methods; D005260:Female; D046449:Hernia, Abdominal / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy; D008875:Middle Aged