Mesocolic hernia following retroperitoneal laparoscopic radical nephrectomy: A case report

Yoshida, Naohiro; Fujita, Fumihiko; Ueda, Kousuke; Ogata, Suguru; Shigaki, Takahiro; Yomoda, Takato; Ohchi, Takafumi; Mizobe, Tomoaki; Kinugasa, Tetsushi; Akagi, Yoshito

doi:10.1016/j.ijscr.2019.07.040

Cited by 6 publications

(4 citation statements)

References 17 publications

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“…However, due to the large wound and the large amount of intraoperative blood loss, the postoperative renal function of the patient is poor, which is not conducive to the postoperative recovery of the patient [ 3 , 4 ]. Retroperitoneal laparoscopic radical nephrectomy (RLRN) has been widely used in the surgical treatment of renal cancer because of its advantages of small wounds, less bleeding, and rapid recovery [ 5 , 6 ]. Although surgical treatment is effective, some renal carcinoma patients still have complications such as peritoneal injury after surgery and in severe cases even relapse, which seriously affects the surgical effect.…”

Section: Introductionmentioning

confidence: 99%

Clinical Effect of Retroperitoneal Laparoscopic Radical Nephrectomy on Renal Cell Carcinoma, the Influence of Renal Function, and the Influencing Factors of Recurrence

Pei

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Renal cell carcinoma is abbreviated as renal carcinoma, and its clinical symptoms are basically hematuria, lumbago, and abdomen bump. As people’s lifestyles change, the incidence of renal carcinoma continues to rise due to factors such as smoking and obesity. At present, surgical treatment is mostly used in clinical practice. Traditional open radical nephrectomy (ORN) is one of the main methods for clinical treatment of renal carcinoma. However, due to its large wound and large amount of intraoperative blood loss, the renal function of patients after surgery is poor, which is not conducive to the postoperative recovery of patients. Retroperitoneal laparoscopic radical nephrectomy (RLRN) has been widely used in the surgical treatment of renal cancer due to its advantages of small wound, less bleeding, and rapid recovery. The purpose of this study was to investigate the efficacy of RLRN in the treatment of renal cancer patients and its effect on renal function and to analyze the related factors affecting postoperative recurrence of patients. We adopt ORN and RLRN, two kinds of treatment, in patients with renal cancer surgery way, contrast analysis of the two groups of operation time, intraoperative blood loss, postoperative intestinal function recovery time, drainage tube indwelling time, length of hospital stay, and other clinical indicators and renal function indexes and use the single factor analysis and multifactor analysis, the relevant factors that affect kidney cancer patients with postoperative recurrence. The results showed that, compared with ORN treatment, RLRN treatment of renal cancer patients has a short operation time, less trauma, quick recovery after surgery, and fewer complications and can effectively alleviate the renal function injury and the body’s inflammatory response, which is worthy of promotion. Postoperative recurrence was related to age, tumor diameter, TNM stage, surgical method, and postoperative immunotherapy.

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Section: Introductionmentioning

confidence: 99%

Clinical Effect of Retroperitoneal Laparoscopic Radical Nephrectomy on Renal Cell Carcinoma, the Influence of Renal Function, and the Influencing Factors of Recurrence

Pei

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…It is mainly secondary to peritoneal injury after laparoscopy or open nephrectomy, and most cases occur on the left side. 10–13 Those that have occurred on the right side were seen in the foramen of Luschka. 14 Kar et al 15 reported a case of a primary hernia from the ileum through the parasigmoid sulcus into the retroperitoneal space.…”

Section: Discussionmentioning

confidence: 99%

A rare jejunum retroperitoneal hernia case report and literature review

Huang¹,

He²,

Li³

et al. 2020

BJR|case reports

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This report describes a rare case of retroperitoneal hernia and its preoperative diagnosis. Contrast-enhanced CT and multiplanar reconstruction were used to observe the hernia ring, hernia tract, contents and blood flow of a retroperitoneal hernia. The diagnosis of and conditions related to the retroperitoneal hernia were confirmed by CT soon after hospitalisation. There are no reports on the diagnosis of primary retroperitoneal hernia on CT in the literature to date, and we share this case to facilitate the accurate and timely identification of small intestine retroperitoneal hernias in the future.

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“…Unlike this patient, retroperitoneal hernias reported share common etiology following a tear in the posterior peritoneum because of trauma like lumbar fractures [ 9 ] and nephrectomy [ 4–7 ]. They could as well be caused by congenital malformations as seen in the pediatric population [ 7 ] . These hernias can be categorized according to the anatomical areas they occur into six groups—paraduodenal, pericecal, intersigmoid, transmesenteric, pelvic and supravesical and those through the foramen of Winslow.…”

Section: Discussionmentioning

confidence: 99%

“…Internal hernias rarely cause intestinal obstruction, accounting for only 4% of all cases of small bowel obstruction. However, they can be fatal with mortality up to 50% if managed untimely, making early diagnosis very vital in preventing gut ischemia [ 11 ] The incidence of retroperitoneal hernia is very low and without specific manifestation, therefore the suspicion index should be high with features of SBO following prior surgery [ 7 ]. Radiographical investigations are key in the initial evaluation and early support diagnosis of retroperitoneal hernia, but these are not without challenges.…”

Section: Discussionmentioning

confidence: 99%

A spontaneous paracecal herniation: a rare form of an uncommon case

Mwanje

Nassaka

Kanyike

2023

Journal of Surgical Case Reports

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Paracecal hernias are a rare form of internal hernias. This is a case of a spontaneous paracecal retroperitoneal hernia in an elderly patient. A 73-year-old male, a known patient of adenocarcinoma of the rectum, who had undergone neoadjuvant radiotherapy and chemotherapy a year ago, presented with a 2-day-history of exacerbated colicky peri-umbilical and right-sided non-radiating abdominal pain, with associated progressive abdominal distension, which were aggravated by feeding. A contrasted abdominal computed tomography scan showed features of small bowel obstruction. An exploratory laparotomy revealed herniation of gangrenous small bowel ~30 cm through a small, tight opening just below the base of the cecum. Resection and anastomosis and closure of the retroperitoneal pouch were done. Patient recovered and was discharged on the fourth post-operative day. Spontaneous retroperitoneal hernias can occur in elderly patients with additional risk factors like neoplasms, with a high risk of bowel ischemia, hence the urgent need for surgical intervention.

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Mesocolic hernia following retroperitoneal laparoscopic radical nephrectomy: A case report

Abstract: Highlights An internal hernia after retroperitoneal laparoscopic nephrectomy is rare. Retroperitoneal approach has the risk of making mesocolic defects directly. To prevent internal hernia, we should close the mesenteric defects intraoperatively.

Cited by 6 publications

References 17 publications

Clinical Effect of Retroperitoneal Laparoscopic Radical Nephrectomy on Renal Cell Carcinoma, the Influence of Renal Function, and the Influencing Factors of Recurrence

Clinical Effect of Retroperitoneal Laparoscopic Radical Nephrectomy on Renal Cell Carcinoma, the Influence of Renal Function, and the Influencing Factors of Recurrence

A rare jejunum retroperitoneal hernia case report and literature review

A spontaneous paracecal herniation: a rare form of an uncommon case

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