Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy

Moris, Demetrios; Tsilimigras, Diamantis I.; Yerokun, Babatunde A.; Seymour, Keri A.; Guerrón, Alfredo D.; Fong, Philip; Spartalis, Eleftherios; Sudan, Ranjan

doi:10.1007/s11605-019-04353-3

Cited by 34 publications

(129 citation statements)

References 30 publications

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“…Laparoscopic management in case of internal hernia can be used as much as diagnostic than therapeutic, when possible, and propose enhanced recovery after surgical intervention. In case of intestinal necrosis, an intestinal resection is necessary [ 3 ]. In case of difficulties during reduction, the Winslow’s foramen needs to be enlarged by performing a Kocher manoeuvre, by performing a colo-epiploic detachment or needle decompression of the involved bowel [ 1 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…In case of intestinal necrosis, an intestinal resection is necessary [ 3 ]. In case of difficulties during reduction, the Winslow’s foramen needs to be enlarged by performing a Kocher manoeuvre, by performing a colo-epiploic detachment or needle decompression of the involved bowel [ 1 , 3 ]. In this case, there were no occlusion and the reduction was easily performed in laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

“…After reduction, when herniated content is viable, there is no consensus concerning the prevention of hernia recurrence. There are three main contributing factors in the HFW genesis [ 3 ], excessive viscera mobility, enlargement of the foramen of Winslow and an increased intra-abdominal pressure. Some others anatomical risk factors favoured HFW like a long small bowel mesentery or an atrophic greater omentum [ 2 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel is the most frequently involved organ, followed by the terminal ileum and cecum [ 2 ]. Clinical presentation of HFW is non-specific and his diagnosis may be difficult [ 3 ]. A delayed diagnosis exposed to the risk of viscus ischemia and perforation leading to a high morbidity and mortality rate [ 1 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Clinical presentation of HFW is non-specific and his diagnosis may be difficult [ 3 ]. A delayed diagnosis exposed to the risk of viscus ischemia and perforation leading to a high morbidity and mortality rate [ 1 , 3 ]. The emergency treatment requires a surgical reduction of the herniated contents, in laparoscopy when possible.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Laparoscopic management of an ascending colon hernia through the foramen of Winslow

Buisset¹,

Postillon

Aziz³

et al. 2020

Journal of Surgical Case Reports

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Herniation through the foramen of Winslow is rare, with a non-specific clinical presentation and his diagnosis may be difficult. A 44-year-old female was admitted with an acute epigastric abdominal pain. A computed tomography showed an internal hernia of the colon in the lesser sac. Laparoscopic reduction of the herniated contents and the fixation of the ascending colon with several non-absorbable sutures were performed. Twenty months after surgery, the patient has not experienced any recurrence. Computed tomography helps practitioners to the preoperative diagnosis of herniation through the foramen of Winslow, to the viability of the herniated contents and presence of occlusion. In case of herniation through the foramen of Winslow favored by a mobile ascending colon with a misapposition of the right Told fascia, the fixation of the colon with a non-absorbable suture was safe and may prevent the risk of recurrent internal hernia and colonic volvulus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Laparoscopic management of an ascending colon hernia through the foramen of Winslow

Buisset¹,

Postillon

Aziz³

et al. 2020

Journal of Surgical Case Reports

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Simultaneous Winslow and Petersen’s Hernias after a Roux-en-Y Gastric Bypass Causing Bowel Obstruction: Laparoscopic Management and Review of the Literature

et al. 2022

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Internal hernias after Roux-en-Y gastric bypass are one of the most common complications in bariatric surgery leading to hospital readmissions with or without surgery. Due to the insidious and non-specific clinical presentation combined with difficult radiological identification, internal hernias remain a diagnostic and therapeutic challenge. Delay in diagnosis and treatment can lead to severe morbidity and mortality. We report the case of a patient presenting an unusual intestinal obstruction due to two simultaneous and distinct internals hernias affecting the Petersen’s defect and the foramen of Winslow 4 years after a laparoscopic gastric bypass. A 41-year-old female patient with a history of robotic laparoscopic Roux-en-Y gastric bypass presented with proximal small bowel obstruction symptoms and epigastric pain. Computed tomography showed two simultaneous internal hernias, one affecting the Petersen’s defect and the other affecting the foramen of Winslow with an incarcerated transverse colon. We performed an explorative laparoscopy to reduce both hernias and, after an assessment of bowel viability by indocyanine green angiography, we closed both defects with interrupted non-absorbable sutures to prevent recurrence. The follow-up of more than 1 year has been uneventful. In the cases of obstruction and hospital admission after gastric bypass, we suggest that patients undergo a computed tomography directly after the initial examination. Internal hernia diagnosis is often delicate and requires surgical exploration since bowel strangulation can lead to dramatic outcomes. The operation can be safely done laparoscopically, and all internal hernia defects should be repaired with non-absorbable sutures.

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Internal herniation of the right colon through the foramen of Winslow: A case report

Tatagari¹,

Devine²,

Cronin³

et al. 2022

International Journal of Surgery Case Reports

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Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy

Cited by 34 publications

References 30 publications

Laparoscopic management of an ascending colon hernia through the foramen of Winslow

Laparoscopic management of an ascending colon hernia through the foramen of Winslow

Simultaneous Winslow and Petersen’s Hernias after a Roux-en-Y Gastric Bypass Causing Bowel Obstruction: Laparoscopic Management and Review of the Literature

Internal herniation of the right colon through the foramen of Winslow: A case report

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