Internal Hernia After Bariatric Surgery: A Comprehensive Review
Journal Title: Journal of Surgery Research and Practice - Year 2022, Vol 3, Issue 3
Abstract
Introduction: Internal Hernias (IH) are one of its most common and feared complicati after Laparoscopic Roux-en-Y Gastric Bypass (RYGB). Its prevention has become one of the main topics of debate among obesity surgeons. Alimentary limb (antecolic vs. retrocolic) and the closure of mesenteric defects (jejuno-jejunal mesenteric defect, mesocolic and Petersen’s defect) seem to play an essential role. The aim of this review is to elucidate and show evidence regarding IH and RYGB. Materials and Methods: Research was carried out in Pubmed to identify those articles and studies containing data referring to incidence, treatment, pathogenesis and prevention of internal hernia. All randomized controlled trials, clinical trials, review papers, and meta-analysis were included. Results: Out of the 44 initially found studies, 26 were finally chosen for further review, being 7 of them the only ones that met the inclusion criteria. Conclusion: The antecolic orientation of the alimentary limb and closure of mesenteric defects shows lower incidence of internal hernias, yet being the available scientific evidence not conclusive enough so as to define a single trend when performing this surgical procedure. More comparative studies are needed to define the real impact of closing mesenteric defects in the prevention of internal hernias.
Authors and Affiliations
Dalmau Mar1, Vilallasante Mateos Sara1, Cirera de Tudela Arturo1, Mata Mata, Rodrigo1, Cabau-Talarn, Clàudia1, Lopez Luza Pablo1, Vilallonga Ramon2*, Garcia Ruiz de Gordejuela Amador2, Costa Pilar3, Ciudin Andreea5, Armengol Carrasco, Manel1
Keywords
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- EP ID EP711060
- DOI https://doi.org/10.46889/JSRP.2022.3302
- Views 41
- Downloads 0
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