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


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


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


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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