The Usefulness of Laparoscopy in the Treatment of Incarcerated Internal Hernia through a Defect in the Broad Ligament.
10.7602/jmis.2015.18.4.133
- Author:
Sungwoo CHO
1
;
Sangchul YUN
Author Information
1. Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea. ultravascsurg@gmail.com
- Publication Type:Case Report
- Keywords:
Broad ligament;
Hernia;
Laparoscopy
- MeSH:
Abdominal Pain;
Adult;
Broad Ligament*;
Colic;
Diagnosis;
Female;
Hernia*;
Humans;
Incidence;
Intestinal Obstruction;
Laparoscopy*;
Postoperative Complications;
Running;
Skin;
Sutures
- From:Journal of Minimally Invasive Surgery
2015;18(4):133-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hernias through the broad ligament are rare with a reported incidence of only 4-7% of cases of internal hernias. Here, we report on a rare case of incarcerated internal hernia through a spontaneous defect in the broad ligament which was repaired using a laparoscopic technique. A 41-year-old female was admitted with colic abdominal pain. Laparoscopic exploration was performed for the diagnosis of intestinal obstruction. Laparoscopic examination confirmed an approximately 10-cm-long ileal loop herniated in the anterior to posterior direction through a left broad ligament defect. A large defect in the broad ligament was closed by an intracorporeal continuous running suture. The patient was highly satisfied with the cosmetic result. In conclusion, laparoscopy could be particularly helpful during pelvic surgery, which usually requires large skin incisions to ensure a good field of view. This approach was cosmetically effective, decreased the postoperative complications, and promoted early recovery to usual activity.
