Preventative laparoscopic repair of Petersen’s space following gastric bypass surgery reduces the incidence of Petersen’s hernia: a comparative study

Lopera, Carlos Andrés Arango; Vergnaud, Jean Pierre; Cabrera, Luis Felipe; Sánchez, Sara González; Pedraza, Mauricio; Vinck, Eric E.; Pulido, Jean

doi:10.1007/s10029-018-1814-0

Cited by 19 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All these patients required bowel resection with either anastomosis or stoma formation. The duration between the onset of the symptoms and presenting to the hospital was the important contributing factor, not only for the higher rates of advanced ischemia of bowel wall, but also influence the outcome in these patients, similar findings have been observed by other authors in their studies [23][24][25] . In the current study majority of the patients belongs to the villages, due to lack of adequate medical facilities, and by ignorance about the seriousness of the condition they were trying with local physicians and quacks to get relief from the symptoms, this appears to be the reason for their late presentation.…”

Section: Discussionsupporting

confidence: 87%

Desarda’s repair versus Mesh hernioplasty for a strangulated inguinal hernia a randomized double-blind comparative study

Kancharla¹,

Nimmagadda²,

Bobba³

2022

BJSRG

View full text Add to dashboard Cite

Groin hernias are the commonest abdominal wall hernias; these hernias are known to develop various complications. Strangulation is a serious and life-threatening complication. Various surgical procedures like primary tissue repair, mesh repair, keep open with secondary repair, etc. are in practice for strangulated groin hernias. Postoperative infection and recurrence are the main concerns with these procedures. The aim of conducting this study was to compare the outcomes of the mesh hernioplasty with Desarda's purely tissue hernioplasty in the treatment of strangulated inguinal hernia. A total of one hundred and twenty-four patients were included in the study. These patients were grouped into group A (mesh hernioplasty group) and group B (Desarda's tissue repair group) and randomization was done. Results of these two techniques were compared with respect to post-operative seroma, surgical site infection, recurrence, and chronic pain. Seroma formation was more in group A, which accounts for 35.48%( 22) of patients than in group B patients accounts for 19.35%(12). Operative site infection was more in group A, which accounts for 35.48%(22) patients than in group B 9.67%(6) patients. Recurrence was more in Group A patients which accounts for 22.58%(14) than in Group B patients which accounts for 3.22%(2). More patients account for 19.35%(12) in group A experienced chronic pain than the patients 1.61%(1) in Group B. The current study showed that Desarda's technique is a safe, effective, and single-sitting technique with a significantly reduced risk of seroma, surgical site infection, chronic pain, and recurrence than mesh hernioplasty for strangulated inguinal hernia.

show abstract

Section: Discussionsupporting

confidence: 87%

Desarda’s repair versus Mesh hernioplasty for a strangulated inguinal hernia a randomized double-blind comparative study

Kancharla¹,

Nimmagadda²,

Bobba³

2022

BJSRG

View full text Add to dashboard Cite

show abstract

“…In recent years, a series of studies has demonstrated that closure of Petersen space or mesenteric defect could significantly reduce the risk of internal hernia ( 13 , 15 , 16 ). Therefore, it has been recommended as a routine step during gastrectomy.…”

Section: Discussionmentioning

confidence: 99%

Risk Factor and Surgical Outcome of Petersen’s Hernia After Gastrectomy in Gastric Cancer

Liu

Song

et al. 2021

Front. Oncol.

View full text Add to dashboard Cite

BackgroundPetersen’s hernia is a life-threatening complication after gastrectomy. This study is dedicated to identify risk factors for Petersen’s hernia and compare clinical outcomes between patients receiving early or delayed surgical interventions.MethodsData from all patients who received gastrectomy due to gastric cancer were collected. Clinical characteristics were compared between Petersen and non-Petersen groups, bowel necrosis and non-necrotic groups. Propensity score matching (PSM) was conducted to generate two comparative groups. Univariate analysis and multivariate logistic regression were performed for risk factor evaluation.ResultsA total of 24 cases of Petersen’s hernia were identified from 1,481 cases of gastrectomy. PSM demonstrated that lower body mass index [BMI; odds ratio (OR) = 0.2, p < 0.01] and distal gastrectomy (OR = 6.2, p = 0.011) were risk factors for Petersen’s hernia. Longer time interval from emergence visit to laparotomy (p = 0.042) and elevated preoperative procalcitonin (p = 0.033) and C-reactive protein (CRP; p = 0.012) were associated with higher risk of bowel necrosis in Petersen’s hernia. Early surgical intervention resulted in less bowel necrosis rate (p = 0.012) and shorter length of necrotic bowel (p = 0.0041).ConclusionsLow BMI and distal gastrectomy are independent risk factor for Petersen’s hernia after gastrectomy. Curtailing observing time and executing prompt surgery are associated with bowel viability and better outcome in patients with Petersen’s hernia.

show abstract

“…La prevención de la hernia interna con el cierre profiláctico de los defectos mesentéricos durante la cirugía primaria no es un método estandarizado actualmente [2] . No se ha demostrado evidencia de que el cierre del espacio de Petersen evite la aparición de una hernia interna, pero parece disminuir su incidencia [3,4,5] , por lo que actualmente se recomienda su cierre con una sutura continua no reabsorbible durante la cirugía primaria [6,7] .…”

unclassified

El cierre del espacio de Petersen con sutura barbada reduce la incidencia de hernia interna en el bypass gástrico antecólico

Muñoz¹

2023

BMI Journal

View full text Add to dashboard Cite

Preventative laparoscopic repair of Petersen’s space following gastric bypass surgery reduces the incidence of Petersen’s hernia: a comparative study

Cited by 19 publications

References 26 publications

Desarda’s repair versus Mesh hernioplasty for a strangulated inguinal hernia a randomized double-blind comparative study

Desarda’s repair versus Mesh hernioplasty for a strangulated inguinal hernia a randomized double-blind comparative study

Risk Factor and Surgical Outcome of Petersen’s Hernia After Gastrectomy in Gastric Cancer

El cierre del espacio de Petersen con sutura barbada reduce la incidencia de hernia interna en el bypass gástrico antecólico

Contact Info

Product

Resources

About