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 UNUSUAL CASE
Year : 2012  |  Volume : 8  |  Issue : 4  |  Page : 149-151

Management of intestinal obstruction following laparoscopic donor nephrectomy


Department of Minimal Access, Bariatric and GI Surgery, Fortis Hospital, Vasant Kunj, New Delhi, India

Correspondence Address:
Randeep Wadhawan
S-18, Greater Kailash Part 1, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.103126

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Internal hernias are a rare cause of small bowel obstruction. Following laparoscopic bariatric surgery, specifically gastric bypass and laparoscopic colonic resections, there has been an increase in the incidence of internal hernias. This has been due to either a mesenteric or mesocolic defect being not closed or completely missed. Small bowel loops usually herniate through these defects and present as intestinal obstruction. Internal hernia following laparoscopic donor nephrectomy is a rare complication. The need for presenting this case is the rarity of its occurrence, to stress the fact that following major abdominal laparoscopic surgery the mesenteric or mesocolic defects should be closed, and that this complication was managed laparoscopically, through the same port sites as used earlier for the donor nephrectomy.






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Published by Wolters Kluwer - Medknow
Online since 15th August '04