Preventative laparoscopic repair of Petersen's space following gastric bypass surgery reduces the incidence of Petersen's hernia: a comparative study

Hernia : the Journal of Hernias and Abdominal Wall Surgery
C A LoperaJ Pulido

Abstract

Internal hernias (IH) are late complications of bariatric surgery, specifically gastric bypass and manifest with diffuse abdominal pain and/or intestinal obstruction. They have a low incidence, however, are increasingly common in patients undergoing laparoscopic gastric bypass (LGBP). Petersen's internal hernia is one of the most frequent internal hernias following Bariatric surgery. We describe our experience at a third-level surgical center using a prophylactic Petersen's space herniorrhaphy immediately following LGBP as a preventative strategy for post-bariatric internal hernias. In addition, we perform a retrospective descriptive study with 667 patients undergoing LGBP under which we divided into two groups. In the first group, the Petersen's space was not closed, and in the second group, the Petersen´s space closure was performed using non-absorbable polypropylene non-interrupted sutures. 667 patients were taken to LGBP, and of which 5 presented internal hernias. From the 346 patients who had Petersen´s herniorrhaphy performed, one developed signs of an internal hernia at 22 months follow-up and was subsequently confirmed later with laparoscopy (0.02%). Of the 321 patients not having had Petersen's space closure, 4 develop...Continue Reading

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Citations

Nov 26, 2019·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jonathan DouissardMonika E Hagen
Apr 22, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D SchizasE Pikoulis
Jan 20, 2020·Obesity Surgery·Dimitrios E MagouliotisDimitris Zacharoulis

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