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Surgical Endoscopy

Published in:

01-01-2005 | Original paper

Symptomatic internal hernias after laparoscopic bariatric surgery

Authors: E. Comeau, M. Gagner, W. B. Inabnet , D. M. Herron, T. M. Quinn, A. Pomp

Published in: Surgical Endoscopy | Issue 1/2005

Abstract

Background

The aim of this study was to describe the occurrence and clinical characteristics of symptomatic internal hernias (IH) after laparoscopic bariatric procedures.

Methods

We conducted a retrospective review of cases of IH after 1,064 laparoscopic gastric bypasses (LGB) and biliopancreatic diversions with duodenal switch (LBPD-DS) performed from September 1998 to August 2002.

Results

We documented 35 cases of IH (overall incidence of 3.3%). The IH occurred in 6.0% of patients with retrocolic procedures and 3.3% of patients with antecolic procedures. Most were in the Petersen defect (55.9%) and at the enteroenterostomy site (35.3%). A bimodal presentation was observed, with 22.9% of patients with IH diagnosed in the early postoperative period (2–58 days) and 77.1% in a delayed fashion (187–1,109 days). A laparoscopic approach to the repair of IH was possible in 60.0% of patients. Complications occurred in 18.8% of patients, including one death (2.9%).

Conclusion

Complete closure of all mesenteric defects is strongly recommended during laparoscopic bariatric procedures to avoid IH and their associated complications.

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Title: Symptomatic internal hernias after laparoscopic bariatric surgery
Authors: E. Comeau
M. Gagner
W. B. Inabnet
D. M. Herron
T. M. Quinn
A. Pomp
Publication date: 01-01-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-8515-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Symptomatic internal hernias after laparoscopic bariatric surgery

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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