Users Online : 1427 About us |  Subscribe |  e-Alerts  | Feedback | Login   
Journal of Minimal Access Surgery Current Issue | Archives | Ahead Of Print Journal of Minimal Access Surgery
           Print this page Email this page   Small font sizeDefault font sizeIncrease font size 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (195 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


   References

 Article Access Statistics
    Viewed2420    
    Printed104    
    Emailed0    
    PDF Downloaded134    
    Comments [Add]    
    Cited by others 4    

Recommend this journal

 


 
LETTER TO EDITOR
Year : 2010  |  Volume : 6  |  Issue : 3  |  Page : 89
 

Laparoscopic right paraduodenal hernia repair


Department of Surgery, Medical College of Georgia School of Medicine, Augusta, Georgia, USA

Date of Web Publication20-Aug-2010

Correspondence Address:
James G Bittner IV
Department of Surgery, Medical College of Georgia School of Medicine, 1120 15th Street, Augusta, Georgia-30912
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.68578

Rights and Permissions



How to cite this article:
Bittner IV JG. Laparoscopic right paraduodenal hernia repair. J Min Access Surg 2010;6:89

How to cite this URL:
Bittner IV JG. Laparoscopic right paraduodenal hernia repair. J Min Access Surg [serial online] 2010 [cited 2019 Nov 17];6:89. Available from: http://www.journalofmas.com/text.asp?2010/6/3/89/68578


Dear Sir,

I read with interest the recent case report submitted by Bhartia et al.,[1] which describes the laparoscopic repair of a symptomatic right paraduodenal hernia. After reviewing the article, the authors claimed their patient had the longest follow-up to date, stated that only three published reports have detailed laparoscopic right paraduodenal hernia repair, and claimed their patient's postoperative hospital length of stay matched those of the patients in previous reports. Unfortunately, the authors did not include a time frame for follow-up but instead simply stated the patient "remains well till date and had no recurrence of abdominal symptoms." [1] While their claim may be true, it is impossible for the reader to confirm this. At the time of case report submission, four published reports have been found to have detailed successful laparoscopic repair of right paraduodenal hernia. Perhaps the authors inadvertently overlooked a previously published article describing laparoscopic right paraduodenal hernia repair, complete with discussion and images of operative technique, embryology and literature review. Briefly, we reported the case of a 26-year-old female with symptoms suggestive of partial small-bowel obstruction and a 6-year history of intermittent abdominal pain. Plain abdominal radiographs and ultrasonography were non-diagnostic. Contrasted computed tomography of the abdomen revealed jejunum encased within the right upper quadrant, suspicious for right paraduodenal hernia. The patient underwent successful laparoscopic right paraduodenal repair and was discharged home on postoperative day 1 and is without sequelae 12 months postoperatively. [2]

With their report, the authors added to the growing number of reports of patients with right paraduodenal hernia managed safely and effectively using a laparoscopic technique and reminded the astute surgeon to expedite diagnosis and possibly shorten length of stay in the hospital by entertaining the diagnosis of paraduodenal hernia. This is particularly true in adults who present with acute symptoms associated with small-bowel obstruction. For surgeons with significant experience in minimally invasive techniques, physical examination and abdominal radiographs followed by diagnostic laparoscopy and definitive laparoscopic repair is a viable option for patients with acute and chronic presentation of right paraduodenal hernia. [2]

 
  References Top

1.Bhartia V, Kumar A, Khedkar I, Savita KS, Goel N. Laparoscopic repair of right paraduodenal hernia. J Minim Access Surg 2009;5:121-3.  Back to cited text no. 1      
2.Bittner JG 4 th , Edwards MA, Harrison SJ, Li K, Karmin PN, Mellinger JD. Laparoscopic repair of a right paraduodenal hernia. JSLS 2009;13:242-9.  Back to cited text no. 2      



This article has been cited by
1 Laparoscopic management of right paraduodenal hernia along with the correction of malrotation in a pediatric patient: A case report
Gupta, R.K. and Kothari, P. and Gupta, A. and Ranjan, R. and Kesan, K.K. and Mudkhedkar, K. and Karkare, P. and Mohammed, N.
Annals of Pediatric Surgery. 2013; 9(2): 90-92
[Pubmed]
2 Laparoscopic management of right paraduodenal hernia along with the correction of malrotation in a pediatric patient
Rahul K. Gupta,Paras Kothari,Abhaya Gupta,Ritesh Ranjan,Krishna K. Kesan,Kedar Mudkhedkar,Parag Karkare,Niyaz Mohammed
Annals of Pediatric Surgery. 2013; 9(2): 90
[Pubmed] | [DOI]
3 Right-side paraduodenal hernia: Unexplained recurrent abdominal pain
Lu, C.-W. and Liu, L.-C.
Clinical Imaging. 2012; 36(1): 68-71
[Pubmed]
4 Right-side paraduodenal hernia: unexplained recurrent abdominal pain
Chih-Wei Lu,Liang-Chih Liu
Clinical Imaging. 2012; 36(1): 68
[Pubmed] | [DOI]



 

Top
Print this article  Email this article
Previous article Next article

    

2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04