Laparoscopic Repair of a Right Paraduodenal Hernia

Abstract

Laparoscopic repair of a right paraduodenal hernia has been described sparingly in literature. We present an account of how we laparoscopically repaired a right paraduodenal hernia along with a review of the current literature as regards the various techniques that have been attempted. With the patient in supine position, and with umbilical camera port and three 5 mm ports, we mobilized the cecum and ascending colon up to the third part of the duodenum, thereby widening the neck of the hernia sac in the Waldeyer fossa. This method is ideal for the less severe incomplete rotation presenting with right paraduodenal hernia where there are no Ladd's bands and there is no requirement for fetalization of the bowel.

Keywords

right paraduodenal hernia - laparoscopic repair

• References

• 1 Tomino T, Itoh S, Yoshida D. , et al. Right paraduodenal hernia successfully treated with laparoscopic surgery. Asian J Endosc Surg 2015; 8 (01) 87-90
• 2 Takeyama N, Gokan T, Ohgiya Y. , et al. CT of internal hernias. Radiographics 2005; 25 (04) 997-1015
• 3 Bittner IV JG, Edwards MA, Harrison SJ, Li K, Karmin PN, Mellinger JD. Laparoscopic repair of a right paraduodenal hernia. JSLS 2009; 13 (02) 242-249
• 4 Dassinger MS, Eubanks JW. Laparoscopic repair of a right paraduodenal hernia in a child. JSLS 2007; 11 (02) 266-267
• 5 Gupta RK, Kothari P, Gupta A. , et al. Laparoscopic management of right paraduodenal hernia along with the correction of malrotation in a pediatric patient: a case report. Ann Pediatr Surg 2013; 9 (02) 90-92
• 6 Antedomenico E, Singh NN, Zagorski SM, Dwyer K, Chung MH. Laparoscopic repair of a right paraduodenal hernia. Surg Endosc 2004; 18 (01) 165-166
• 7 Theodorou A, Lange J, Saad S. Case Report: Laparoscopic Treatment of a Right-Sided Paraduodenal Hernia [Internet]. http:www.liebertpub.com/vor . 2013 [cited 2017 Dec 1]. Available from: http://online.liebertpub.com/doi/abs/10.1089/vor.2012.0098
• 8 Palanivelu C, Rangarajan M, Jategaonkar PA, Anand NV, Senthilkumar K. Laparoscopic management of paraduodenal hernias: mesh and mesh-less repairs. A report of four cases. Hernia 2008; 12 (06) 649-653
• 9 Bhartia V, Kumar A, Khedkar I, Savita KS, Goel N. Laparoscopic repair of a right para duodenal hernia. J Minim Access Surg 2009; 5 (04) 121-123