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  • Title: Laparoscopic repair of a paraduodenal hernia.
    Author: Uematsu T, Kitamura H, Iwase M, Yamashita K, Ogura H, Nakamuka T, Oguri H.
    Journal: Surg Endosc; 1998 Jan; 12(1):50-2. PubMed ID: 9419303.
    Abstract:
    Paraduodenal hernias have traditionally been treated by conventional laparotomy. We report the first case of a left paraduodenal hernia treated laparoscopically. A 44-year-old man was admitted with abdominal pain and nausea. Computed tomography and an upper gastrointestinal series with small-bowel followthrough showed accumulation of the small bowel on the left side of the abdomen. A laparoscopic repair was performed. The small bowel was observed beneath a thin hernia capsule. Approximately 1.5 m of jejunum was easily reduced into the abdominal cavity. The hernia orifice (5-cm diameter) was closed intracorporeally with five interrupted sutures. Good exposure of the operative field is critical to this procedure; poor exposure may limit the applicability of the laparoscopic approach. This minimally invasive operation is currently indicated in nonobstructive paraduodenal hernias, especially on the left.
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