Laparoscopic Treatment of Retrocecal Hernia: Technical Notes and Literature Review

Abstract

Raffaele Porfidia, Nicola Castaldo, Maria Giovanna Ciolli, Pietro Picarella, Simona Grimaldi, Alfonso Bosco and Sergio Grimaldi

Retrocecal hernia is a rare cause of mechanical ileus and requires surgical treatment in emergency. Laparoscopy is not a frequent approach in this type of pathology. The diagnosis preoperative is not easy despite the TC can provide information to that effect. We present the case of a 52-year-old male patient with no comorbidity and never operated on the abdomen previously, which arrives in the emergency room with symptoms of acute abdomen. Practice direct Rx abdomen and TC abdomen that highlight an ileal stop without signs of decompensation. It is implemented, first instance, a conservative therapy, naso-jejunal tube and gastrographin intake by the way oral. Due to the persistence of occlusive symptoms, he underwent surgery after 24 hours. In laparoscopy we highlight a retrocecocolic hernia that strangles the last ileal loops. Proceed to section of the throttling track and to the opening of the entire laterocolic shower on the right with the resolution of the occlusive frame. Laparotomy has been avoided; laparoscopy made it possible to diagnose and guarantee a minimally invasive treatment with rapid recovery of the patient. We did not consider it appropriate to close the hernial orifice as described by several authors in the literature. The technique is described laparoscopy comparing it with other authors.

PDF