Internal hernia after an open gastrectomy: an unusual treatment approach and a systematic review of the literature

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Andriani Adelaide
Giada Aveni
Lucrezia Clocchiatti
Giovanni Terrosu
Vittorio Alessandro Cherchi
Sergio Giuseppe Intini

Keywords

Interna hernia, open abdomen, negative pressure therapy, mesenteric ischemia, VAC therapy

Abstract

Internal hernia (IH) is a serious complication that can occur after both laparoscopic and open surgery for the treatment of gastric cancer; the transverse colon and mesocolon, act as a natural partition between stomach and the small intestine and, once any type of gastrojejunal anastomosis is constructed, a potential space for internal hernia is created 1. We present the case of a 68 years old patient diagnosed with intestinal ischemia due to an IH in the site of the jejunojejunostomy after an open gastrectomy for gastric cancer, treated with negative pressure therapy on open abdomen (ABThera dressing).


 

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1. Faria G, Preto J, Oliveira M, Pimenta T, Baptista M, Costa-Maia J. Petersen’s space hernia: A rare but expanding diagnosis. Int J Surg Case Rep. 2011;2(6):141-143. doi:10.1016/j.ijscr.2011.03.004
2. Han WH, Eom BW, Yoon HM, Kim YW, Ryu KW. Clinical characteristics and surgical outcomes of internal hernia after gastrectomy in gastric cancer patients: retrospective case control study. Surg Endosc. 2019;33(9):2873-2879. doi:10.1007/s00464-018-6584-3
3. Takayama Y, Kaneoka Y, Maeda A, et al. Internal hernia after proximal gastrectomy with jejunal interposition. Updates Surg. 2018;70(1):85-90. doi:10.1007/s13304-017-0497-x
4. Ortega J, Cassinello N, Sánchez-Antúnez D, Sebastián C, Martínez-Soriano F. Anatomical basis for the low incidence of internal hernia after a laparoscopic Roux-en-Y gastric bypass without mesenteric closure. Obes Surg. 2013;23(8):1273-1280. doi:10.1007/s11695-013-0902-6
5. Champion JK, Williams M. Small bowel obstruction and internal hernias after laparoscopic Roux-en-Y gastric bypass. Obes Surg. 2003;13(4):596-600. doi:10.1381/096089203322190808
6. Parakh S, Soto E, Merola S. Diagnosis and management of internal hernias after laparoscopic gastric bypass. Obes Surg. 2007;17(11):1498-1502. doi:10.1007/s11695-008-9429-7
7. WSES. The open abdomen in trauma and non-trauma patients_ WSES guidelines _ Enhanced Reader.pdf.
8. Bleszynski MS, Chan T, Buczkowski AK. Open abdomen with negative pressure device vs primary abdominal closure for the management of surgical abdominal sepsis: A retrospective review. Am J Surg. 2016;211(5):926-932. doi:10.1016/j.amjsurg.2016.01.012
9. Batacchi S, Matano S, Nella A, et al. Vacuum-assisted closure device enhances recovery of critically ill patients following emergency surgical procedures. Crit Care. 2009;13(6):1-8. doi:10.1186/cc8193
10. Boele Van Hensbroek P, Wind J, Dijkgraaf MGW, Busch ORC, Carel Goslings J. Temporary closure of the open abdomen: A systematic review on delayed primary fascial closure in patients with an open abdomen. World J Surg. 2009;33(2):199-207. doi:10.1007/s00268-008-9867-3
11. Cooper SM, Young E. Topical negative pressure. Int J Dermatol. 2000;39(12):896-898. doi:10.1046/j.1365-4362.2000.00157-3.x
12. KERLAVAGE AR, CLAYTON RA, SUTTON GG, et al. Enhanced Reader.pdf. Nature. 2018;388:539-547.

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