دورية أكاديمية
أعرض في EDS

Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature

التفاصيل البيبلوغرافية
العنوان: Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature
المؤلفون: Danilo Tueme-de la Peña, José Adolfo Acosta-Flores, Alan Alejandro Garza-Cantú, Hugo Antonio Rangel-Ríos, Alberto Félix Chapa-Lobo, Luis Enrique Salgado-Cruz
المصدر: Journal of Coloproctology, Vol 42, Iss 04, Pp 348-351 (2022)
بيانات النشر: Thieme Revinter Publicações Ltda., 2022.
سنة النشر: 2022
المجموعة: LCC:Diseases of the digestive system. Gastroenterology
مصطلحات موضوعية: laparoscopic left hemicolectomy, internal hernia, lesser omental sac, mesenteric defect, laparoscopic low anterior resection, Diseases of the digestive system. Gastroenterology, RC799-869
الوصف: Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2237-9363
2317-6423
Relation: https://doaj.org/toc/2237-9363; https://doaj.org/toc/2317-6423
DOI: 10.1055/s-0042-1759608
URL الوصول: https://doaj.org/article/5554ace836544f019922518d308f75c5
رقم الأكسشن: edsdoj.5554ace836544f019922518d308f75c5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:22379363
23176423
DOI:10.1055/s-0042-1759608