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- Title
Laparoscopic repair of a paraduodenal hernia.
- Authors
Uematsu, T.; Kitamura, H.; Iwase, M.; Yamashita, K.; Ogura, H.; Nakamuka, T.; Oguri, H.
- Abstract
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.
- Publication
Surgical Endoscopy, 1998, Vol 12, Issue 1, p50
- ISSN
0930-2794
- Publication type
journal article
- DOI
10.1007/s004649900591