Case Report: Laparoscopic Treatment of a Right-Sided Paraduodenal Hernia

Theodorou, Alexis; Lange, J.; Saad, Stefano

doi:10.1089/vor.2012.0098

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2018

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“…In four of the other repairs, a simple release of the lateral attachments of cecum and ascending colon sufficed, thereby widening the hernia sac and releasing the small bowel entrapped in the sac. 3 6 7 8 These patients, similar to the one we reported, were adults who were asymptomatic in childhood and had symptoms of lesser duration compared with the pediatric group. This correlates with the intraoperative findings that there were no Ladd's bands or narrow jejunocolic isthmus along with the paraduodenal hernia.…”

Section: Discussionsupporting

confidence: 80%

Laparoscopic Repair of a Right Paraduodenal Hernia

Manipadam

Lekha

Syamprasad

et al. 2018

Surg J

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Laparoscopic repair of a right paraduodenal hernia has been described sparingly in literature. We present an account of how we laparoscopically repaired a right paraduodenal hernia along with a review of the current literature as regards the various techniques that have been attempted. With the patient in supine position, and with umbilical camera port and three 5 mm ports, we mobilized the cecum and ascending colon up to the third part of the duodenum, thereby widening the neck of the hernia sac in the Waldeyer fossa. This method is ideal for the less severe incomplete rotation presenting with right paraduodenal hernia where there are no Ladd's bands and there is no requirement for fetalization of the bowel.

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