Lessons learnt in the management of paraduodenal hernias: a case series.

Autor: Giri OA; Department of General and GI Surgery, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India., Bhat SN; Department of General and GI Surgery, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India. drsunaybhat@gmail.com., Kuppusamy B; Department of Surgical Gastroenterology, PSG Institute of Medical Sciences and Research Centre, Coimbatore, India.
Jazyk: angličtina
Zdroj: Surgical endoscopy [Surg Endosc] 2024 Jan; Vol. 38 (1), pp. 443-448. Date of Electronic Publication: 2023 Nov 27.
DOI: 10.1007/s00464-023-10513-z
Abstrakt: Introduction: Paraduodenal hernias (PDH) are rare congenital internal hernias with non- specific symptoms. Left-sided paraduodenal hernia is three times more common than right-sided paraduodenal hernia with similar clinical presentation but different embryological origins.
Materials and Methods: We report a series of eight cases of paraduodenal hernia who presented with varied clinical presentation ranging from vague abdominal pain to complete intestinal obstruction. Six cases had left-sided paraduodenal hernia, while two cases had right-sided paraduodenal hernia.
Results: Seven cases based on their presentation underwent surgery either electively or on emergent basis. Three cases underwent laparoscopic repair. One case had a recurrence and was re-operated four months later. There was no mortality among any of the cases.
Conclusion: A pre-operative diagnosis of paraduodenal hernia is essential. Laparoscopic surgery is safe in select cases and is found to be beneficial.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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