Internal hernia following laparoscopic colorectal surgery: single center experience

Svraka, Melina; Wilhelmsen, Michael; Bulut, Orhan

doi:10.5604/01.3001.0010.5405

Cited by 13 publications

(21 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They found only six cases (6/1093) of IH, representing an incidence of 0.55%. 18 The results of these two studies suggest that the development of HI by the mesocolon defect is an uncommon or, more likely, rarely described event. It is probable that the true incidence of IH may be underestimated, since many surgeons who experienced the complication did not publish their cases.…”

Section: Discussionmentioning

confidence: 90%

“…17 With respect to IH after left colectomy, the two largest published series identified eight cases suggesting an incidence between 0.55% and 1.14%. 18,24 Similarly, another study evaluating 297 patients who underwent anterior resection of the rectum after a 6 year follow-up showed an incidence of 1.01%. 11 As occur with right colectomy, it is important to consider that probably the incidence of IH after resection of the left colon may also be underestimated by the small number of publications, as well as by the favorable evolution that a good part of the patients present only with conservative treatment.…”

Section: Discussionmentioning

confidence: 98%

“…IH, although uncommon, may occur after resection of the right colon, transverse colon, subtotal colectomies, proctocolectomies with ileal reservoir construction and, mainly, after resection of the left colon, as described in the patient of the present report. 1,4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Most of the cases of IH due to the mesocolon defect described in the literature occurred after left colon resections (left colectomy, sigmoidectomy and rectal anterior resections) as occurred in the patient of the present report. 7,8,23 Cabot et al 17 reviewing 530 patients undergoing laparoscopic right colon resection found 26 cases of intestinal obstruction (4.9%).…”

Section: Discussionmentioning

confidence: 99%

“…8 Most of the publications describing the complication are retrospective studies or consist mainly of case reports or a series of cases. 4,[6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Systematic review of the literature evaluating 3813 patients undergoing laparoscopic colectomy found only 31 cases of IH indicating an incidence of only 0.65%. 19 Five of these cases were identified in two prospective studies (5/648, 0.8%), 20 cases were found in seven retrospective studies (20/3165, 0.6%) and six in case reports (31/3819).…”

Section: Discussionmentioning

confidence: 99%

“…It is probable that the true incidence of IH may be underestimated, since many surgeons who experienced the complication did not publish their cases. 18 When we performed the review of the literature for the preparation of this article, we identified other four cases, making a total of 39 cases besides the patient in the present report (Table 1).…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Internal hernia through mesocolon defect after left laparoscopic colectomy

Camargo

Cervantes

Ayrizono

et al. 2019

Journal of Coloproctology

View full text Add to dashboard Cite

Introduction The development of internal hernias due to the mesocolon defect after laparoscopic colectomy is a rare complication with only 39 cases described. There are controversies whether the closure of the defect of the mesocolon after resection of the colon could prevent the development of this complication. Objective To describe a case of intestinal obstruction due to internal hernia through the mesocolon defect after laparoscopic rectosigmoidectomy and to perform a literature review. Case report A 59-year-old woman was hospitalized for laparoscopic rectosigmoidectomy due to an adenocarcinoma located in the rectosigmoid junction. She underwent a rectosigmoidectomy by laparoscopy, with an extracorporeal mechanical anastomosis, without closure of the mesocolon defect. In the fifth postoperative day the patient presented an intestinal obstruction due to an internal hernia through the mesocolon defect confirmed by computerized tomography. During the exploratory laparotomy approximately 120 cm jejunum was identified through the mesocolon defect. The reduction of herniated small bowel was done without the need of intestinal resection. The mesocolon defect was corrected by continuous suture. After the reoperation, the patient presented a favorable recovery being discharged on the fifth day. Conclusion Intestinal obstruction due to internal hernia after laparoscopic rectosigmoidectomy is a rare postoperative complication that can be avoided by the adequate closure of the mesocolon defect.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Internal hernia through mesocolon defect after left laparoscopic colectomy

Camargo

Cervantes

Ayrizono

et al. 2019

Journal of Coloproctology

View full text Add to dashboard Cite

show abstract

High prevalence of asymptomatic internal hernias after laparoscopic anterior resection in a retrospective analysis of postoperative computed tomography

Däster

Xiang

Yang

et al. 2020

Int J Colorectal Dis

View full text Add to dashboard Cite

Internal hernia following laparoscopic anterior resection for cancer: higher prevalence than expected of an under-reported complication

Portale¹,

Pedon²,

Rettore³

et al. 2021

Int J Colorectal Dis

View full text Add to dashboard Cite

Background Internal hernia (IH) after laparoscopic colorectal surgery is a potentially severe complication. It may go undiagnosed in patients having their abdominal CT scan during oncologic follow-up. We evaluated the occurrence of IH on CT scans after laparoscopic curative resection for rectal cancer (LRRC) and routine closure of the mesenteric defect. Methods Data from 189 consecutive patients undergoing elective curative LRRC in a 14-year period (June 2005-june 2019) were prospectively collected. Only patients with abdominal CT scans, performed as routine oncologic follow-up, between 3 months and 7 years post-operatively were included in the study and reviewed by a surgeon and a radiologist. Results A total of 161 patients were eligible for the study with a median age of 69 years (IQR: 59-77) at surgery. They had abdominal follow-up CT scans at a median of 39.5 months (IQR: 12.8-62.7) after surgery. The prevalence of IH was 11.2% (18/161 patients). Of the 18 patients, 15 (83.3%) were fully asymptomatic, 2 (11.1%) reported chronic abdominal discomfort (including mostly nausea and colicky pain) during their oncologic follow-up (however, IH was not suspected neither prompted additional investigations), and 1 (5.6%) was reoperated elsewhere for IH and acute small bowel obstruction. Conclusions IH following LRRC is not uncommon, with a prevalence > 10% in our experience. Most of these patients remain fully asymptomatic, but in a few patients, IH might be responsible for some symptoms or require reoperation. Awareness of this complication is important, given the potential risk of acute small bowel obstruction.

show abstract

Internal hernia following laparoscopic colorectal surgery: single center experience

Cited by 13 publications

References 13 publications

Internal hernia through mesocolon defect after left laparoscopic colectomy

Internal hernia through mesocolon defect after left laparoscopic colectomy

High prevalence of asymptomatic internal hernias after laparoscopic anterior resection in a retrospective analysis of postoperative computed tomography

Internal hernia following laparoscopic anterior resection for cancer: higher prevalence than expected of an under-reported complication

Contact Info

Product

Resources

About