Internal hernia through mesocolon defect after left laparoscopic colectomy
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Journal of Coloproctology (Rio de Janeiro. Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300288 |
Resumo: | ABSTRACT Introduction: The development of internal hernias due to the mesocolon defect after laparoscopic colectomy is a rare complication with only 39 cases described. There are controversies whether the closure of the defect of the mesocolon after resection of the colon could prevent the development of this complication. Objective: To describe a case of intestinal obstruction due to internal hernia through the mesocolon defect after laparoscopic rectosigmoidectomy and to perform a literature review. Case report: A 59-year-old woman was hospitalized for laparoscopic rectosigmoidectomy due to an adenocarcinoma located in the rectosigmoid junction. She underwent a rectosigmoidectomy by laparoscopy, with an extracorporeal mechanical anastomosis, without closure of the mesocolon defect. In the fifth postoperative day the patient presented an intestinal obstruction due to an internal hernia through the mesocolon defect confirmed by computerized tomography. During the exploratory laparotomy approximately 120 cm jejunum was identified through the mesocolon defect. The reduction of herniated small bowel was done without the need of intestinal resection. The mesocolon defect was corrected by continuous suture. After the reoperation, the patient presented a favorable recovery being discharged on the fifth day. Conclusion: Intestinal obstruction due to internal hernia after laparoscopic rectosigmoidectomy is a rare postoperative complication that can be avoided by the adequate closure of the mesocolon defect. |
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Internal hernia through mesocolon defect after left laparoscopic colectomyHernia/complicationsIntestinal obstructionLaparoscopyMesocolonColonic neoplasmABSTRACT Introduction: The development of internal hernias due to the mesocolon defect after laparoscopic colectomy is a rare complication with only 39 cases described. There are controversies whether the closure of the defect of the mesocolon after resection of the colon could prevent the development of this complication. Objective: To describe a case of intestinal obstruction due to internal hernia through the mesocolon defect after laparoscopic rectosigmoidectomy and to perform a literature review. Case report: A 59-year-old woman was hospitalized for laparoscopic rectosigmoidectomy due to an adenocarcinoma located in the rectosigmoid junction. She underwent a rectosigmoidectomy by laparoscopy, with an extracorporeal mechanical anastomosis, without closure of the mesocolon defect. In the fifth postoperative day the patient presented an intestinal obstruction due to an internal hernia through the mesocolon defect confirmed by computerized tomography. During the exploratory laparotomy approximately 120 cm jejunum was identified through the mesocolon defect. The reduction of herniated small bowel was done without the need of intestinal resection. The mesocolon defect was corrected by continuous suture. After the reoperation, the patient presented a favorable recovery being discharged on the fifth day. Conclusion: Intestinal obstruction due to internal hernia after laparoscopic rectosigmoidectomy is a rare postoperative complication that can be avoided by the adequate closure of the mesocolon defect.Sociedade Brasileira de Coloproctologia2019-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300288Journal of Coloproctology (Rio de Janeiro) v.39 n.3 2019reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2019.06.002info:eu-repo/semantics/openAccessMartinez,Carlos Augusto RealCamargo,Michel GardereCervantes,Jaissy JerubiAyrizono,Maria de Lourdes SetsukoMukai,Natalia SayuriBraga,João Gabriel RomeroMartins,Daniel LahanCoy,Cláudio Saddy Rodrigueseng2019-09-26T00:00:00Zoai:scielo:S2237-93632019000300288Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2019-09-26T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
title |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
spellingShingle |
Internal hernia through mesocolon defect after left laparoscopic colectomy Martinez,Carlos Augusto Real Hernia/complications Intestinal obstruction Laparoscopy Mesocolon Colonic neoplasm |
title_short |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
title_full |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
title_fullStr |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
title_full_unstemmed |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
title_sort |
Internal hernia through mesocolon defect after left laparoscopic colectomy |
author |
Martinez,Carlos Augusto Real |
author_facet |
Martinez,Carlos Augusto Real Camargo,Michel Gardere Cervantes,Jaissy Jerubi Ayrizono,Maria de Lourdes Setsuko Mukai,Natalia Sayuri Braga,João Gabriel Romero Martins,Daniel Lahan Coy,Cláudio Saddy Rodrigues |
author_role |
author |
author2 |
Camargo,Michel Gardere Cervantes,Jaissy Jerubi Ayrizono,Maria de Lourdes Setsuko Mukai,Natalia Sayuri Braga,João Gabriel Romero Martins,Daniel Lahan Coy,Cláudio Saddy Rodrigues |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Martinez,Carlos Augusto Real Camargo,Michel Gardere Cervantes,Jaissy Jerubi Ayrizono,Maria de Lourdes Setsuko Mukai,Natalia Sayuri Braga,João Gabriel Romero Martins,Daniel Lahan Coy,Cláudio Saddy Rodrigues |
dc.subject.por.fl_str_mv |
Hernia/complications Intestinal obstruction Laparoscopy Mesocolon Colonic neoplasm |
topic |
Hernia/complications Intestinal obstruction Laparoscopy Mesocolon Colonic neoplasm |
description |
ABSTRACT Introduction: The development of internal hernias due to the mesocolon defect after laparoscopic colectomy is a rare complication with only 39 cases described. There are controversies whether the closure of the defect of the mesocolon after resection of the colon could prevent the development of this complication. Objective: To describe a case of intestinal obstruction due to internal hernia through the mesocolon defect after laparoscopic rectosigmoidectomy and to perform a literature review. Case report: A 59-year-old woman was hospitalized for laparoscopic rectosigmoidectomy due to an adenocarcinoma located in the rectosigmoid junction. She underwent a rectosigmoidectomy by laparoscopy, with an extracorporeal mechanical anastomosis, without closure of the mesocolon defect. In the fifth postoperative day the patient presented an intestinal obstruction due to an internal hernia through the mesocolon defect confirmed by computerized tomography. During the exploratory laparotomy approximately 120 cm jejunum was identified through the mesocolon defect. The reduction of herniated small bowel was done without the need of intestinal resection. The mesocolon defect was corrected by continuous suture. After the reoperation, the patient presented a favorable recovery being discharged on the fifth day. Conclusion: Intestinal obstruction due to internal hernia after laparoscopic rectosigmoidectomy is a rare postoperative complication that can be avoided by the adequate closure of the mesocolon defect. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300288 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632019000300288 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jcol.2019.06.002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.39 n.3 2019 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
collection |
Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
repository.mail.fl_str_mv |
||sbcp@sbcp.org.br |
_version_ |
1752126478698414080 |