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Small Bowel Obstruction Secondary to Interstitial Hernia: Laparoscopic Approach.

Alvarez Gallesio JM, Schlottmann F, Sadava EE - Case Rep Surg (2015)

Bottom Line: We present a case of abdominal bowel obstruction secondary to interstitial hernia on the fifth postoperative day of an open incisional hernia repair.Laparoscopy confirmed the diagnosis and led to an accurate treatment avoiding a new laparotomy.In this case, prompt surgical decision based on clinical and CT scan findings allowed a mini-invasive approach with satisfactory outcome.

View Article: PubMed Central - PubMed

Affiliation: Division of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Avenida Pueyrredon 1640, C1118AAT Buenos Aires, Argentina.

ABSTRACT
Interstitial hernias are a rare entity. Most of them are detected incidentally on imaging studies. We present a case of abdominal bowel obstruction secondary to interstitial hernia on the fifth postoperative day of an open incisional hernia repair. Laparoscopy confirmed the diagnosis and led to an accurate treatment avoiding a new laparotomy. In this case, prompt surgical decision based on clinical and CT scan findings allowed a mini-invasive approach with satisfactory outcome.

No MeSH data available.


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Postoperative view after laparoscopic surgery.
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fig4: Postoperative view after laparoscopic surgery.

Mentions: Lastly, the impact of hernia recurrence after laparoscopic approach in patients with previous open incisional repair is unknown. However, laparoscopy would lead us to an accurate diagnosis of acute interstitial hernia. During laparoscopy we observed two defects in the posterior layer of the rectal abdominis muscle sheath, with bowel loops trapped between abdominal wall layers. This approach averted a new xyphopubic laparotomy and the need of mesh detachment or even replacement (Figure 4).


Small Bowel Obstruction Secondary to Interstitial Hernia: Laparoscopic Approach.

Alvarez Gallesio JM, Schlottmann F, Sadava EE - Case Rep Surg (2015)

Postoperative view after laparoscopic surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4631879&req=5

fig4: Postoperative view after laparoscopic surgery.
Mentions: Lastly, the impact of hernia recurrence after laparoscopic approach in patients with previous open incisional repair is unknown. However, laparoscopy would lead us to an accurate diagnosis of acute interstitial hernia. During laparoscopy we observed two defects in the posterior layer of the rectal abdominis muscle sheath, with bowel loops trapped between abdominal wall layers. This approach averted a new xyphopubic laparotomy and the need of mesh detachment or even replacement (Figure 4).

Bottom Line: We present a case of abdominal bowel obstruction secondary to interstitial hernia on the fifth postoperative day of an open incisional hernia repair.Laparoscopy confirmed the diagnosis and led to an accurate treatment avoiding a new laparotomy.In this case, prompt surgical decision based on clinical and CT scan findings allowed a mini-invasive approach with satisfactory outcome.

View Article: PubMed Central - PubMed

Affiliation: Division of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Avenida Pueyrredon 1640, C1118AAT Buenos Aires, Argentina.

ABSTRACT
Interstitial hernias are a rare entity. Most of them are detected incidentally on imaging studies. We present a case of abdominal bowel obstruction secondary to interstitial hernia on the fifth postoperative day of an open incisional hernia repair. Laparoscopy confirmed the diagnosis and led to an accurate treatment avoiding a new laparotomy. In this case, prompt surgical decision based on clinical and CT scan findings allowed a mini-invasive approach with satisfactory outcome.

No MeSH data available.


Related in: MedlinePlus