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Peritoneal pocket hernia: A distinct cause of early postoperative small bowel obstruction and strangulation: A report of two cases following robotic herniorrhaphy

1 Department of Surgery, Roswell Park Cancer Institute, Buffalo, USA
2 Department of Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ, NY, USA

Correspondence Address:
Tomer Davidov,
Department of Surgery, Rutgers-Robert Wood Johnson Medical School, Medical Education Building, 5th Floor, P. O. Box: 19, New Brunswick, NJ 08903
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Source of Support: None, Conflict of Interest: None

Laparoscopic and robotic hernia surgery offers advantages over open herniorrhaphy including faster recover and lower wound infection but is associated with rare but serious complications such as visceral injury and intestinal obstruction. We describe two cases of small bowel obstruction with strangulation that occurred shortly after routine robotic hernia surgery. We define this rare type of strangulating internal hernia as a peritoneal pocket hernia and call attention to its diagnosis and management.

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