Rare Cause of Intestinal Obstruction After Laparoscopic Radical Nephrectomy: Internal Herniation via a Mesenteric Defect

Wong, Joelle Fui Sze; Ho, Henry Sun Sien; Tan, Yeh Hong; Cheng, Christopher

doi:10.1016/j.urology.2007.12.028

Cited by 10 publications

(12 citation statements)

References 14 publications

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“…Most publications dealing with internal hernias following laparoscopic procedures in todays age do insist on closing mesenteric defects. [5–8]…”

Section: Discussionmentioning

confidence: 99%

“…[56] The first laparoscopic repair of a paraduodenal hernia was performed in 1998. [9] Subsequently, laparoscopic repairs, using mesh as well as meshless have been performed by many groups.…”

Section: Discussionmentioning

confidence: 99%

“…[21011] Intestinal obstruction due to internal hernias following laparoscopic radical nephrectomy and laparoscopic donor nephrectomy, though few, have been reported in the literature. [578] Management in most of these cases has been exploration through either a laparotomy or laparoscopy. If the entrapped bowel is viable and not gangrenous, it can be usually reduced laparoscopically and the mesenteric or mesocolic rent sutured subsequently, as was done in our case.…”

Section: Discussionmentioning

confidence: 99%

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Management of intestinal obstruction following laparoscopic donor nephrectomy

et al. 2012

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Internal hernias are a rare cause of small bowel obstruction. Following laparoscopic bariatric surgery, specifically gastric bypass and laparoscopic colonic resections, there has been an increase in the incidence of internal hernias. This has been due to either a mesenteric or mesocolic defect being not closed or completely missed. Small bowel loops usually herniate through these defects and present as intestinal obstruction. Internal hernia following laparoscopic donor nephrectomy is a rare complication. The need for presenting this case is the rarity of its occurrence, to stress the fact that following major abdominal laparoscopic surgery the mesenteric or mesocolic defects should be closed, and that this complication was managed laparoscopically, through the same port sites as used earlier for the donor nephrectomy.

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“…Most publications dealing with internal hernias following laparoscopic procedures in todays age do insist on closing mesenteric defects. [5–8]…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Management of intestinal obstruction following laparoscopic donor nephrectomy

et al. 2012

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“…In recent years, retroperitoneal laparoscopic techniques have been increasingly used [4]. Bowel-related complications after retroperitoneal laparoscopic nephrectomy (RLN) are less than 1% and small bowel obstruction (SBO) is usually caused by adhesions [5]. SBO caused due to an internal hernia through a mesocolon is extremely rare [5].…”

Section: Introductionmentioning

confidence: 99%

Mesocolic hernia following retroperitoneal laparoscopic radical nephrectomy: A case report

Yoshida

Fujita

Ueda

et al. 2019

International Journal of Surgery Case Reports

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“…There are several cases in the literature describing post‐operative adhesion bands which have led to a LBO; however, there are no such cases related to a nephrectomy or renal transplant. There are several cases which report an intestinal obstruction following laparoscopic nephrectomy, several of which involve mesenteric herniation of small bowel . There are cases reported of adhesion bands causing LBO following appendicectomy, laparoscopic converted to open inguinal hernia repair and laparoscopic cholecystectomy …”

mentioning

confidence: 99%