The Authors report a case of internal strangulated hernia in a patient operated of colposacropexy for vaginal prolapse following total hysterectomy. The diagnosis was formularized by abdominal TC consenting the surgical treatment by bowel loop resection completed by pelvic floor reconstruction.

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Laparoscopic Repair of Internal Hernia at the Pelvic Floor After Low Anterior Resection: A Case Report.

Asian J Endosc Surg

December 2024

Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.

Internal hernia following colorectal surgery is an uncommon but serious complication. Most reported cases have involved hernias resulting from mesenteric defects after left-sided colon resection. We herein report a case of laparoscopic repair of an internal hernia at the pelvic floor following low anterior resection.

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Sciatic hernia, a rare type of pelvic floor hernia, presents significant diagnostic and therapeutic challenges. We report the first totally extraperitoneal (TEP) repair of a sciatic hernia, which was performed in a 63-year-old woman who presented with vomiting and poor dietary intake. Computed tomography revealed a strangulated femoral hernia and an incidental herniation of the sigmoid colon through the right sciatic foramen.

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Background: Incarcerated obturator hernia (OH) is a rare type of pelvic wall hernia. With the increasing adoption of reduction techniques for incarcerated OH, it is crucial to assess the extent of damage to the incarcerated intestine. This study aimed to identify objective risk factors for intestinal necrosis based on computed tomography (CT) findings.

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Article Synopsis
  • Internal hernias are a rare type of hernia, occurring in only 0.2%-0.9% of cases, with left para-duodenal hernias being particularly uncommon and can lead to severe symptoms.
  • A case study describes a 24-year-old male who experienced intense abdominal pain due to a left para-duodenal hernia, confirmed through a specialized CT scan.
  • Treatment typically involves emergency surgery, with the specific method (open or laparoscopic) based on the surgeon's skills and hospital facilities; complications like strangulation significantly increase the risk of mortality.
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Background: Small mesenteric hiatal hernias (SMHHs) are defined as a small group of internal hernias (IHs) that frequently diagnosed in children. However, SMHHs are relatively rare in adults. Bowel loop herniation via an abnormal mesenteric defect can lead to strangulated intestinal obstruction.

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