Open AccessSurgery and considerations for the repair of Petersen's space hernia after mini gastric bypass
Author(s) -
Borja Camacho Fernández-Pacheco,
Eudaldo López-Tomassetti Fernández,
Juan Ramón Hernández Hernández
Publication year - 2018
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_133_17
Subject(s) - medicine , surgery , gastric bypass , anastomosis , gastric bypass surgery , hernia , hernia repair , dissection (medical) , roux en y anastomosis , weight loss , obesity
This paper reports a case of Petersen's space hernia after mini gastric bypass. This is an anecdotal post-operative complication in the mini gastric bypass technique, with an estimated rate of 1/5000 cases. Similar cases described in the literature were treated by the surgical hernia reduction and the closure of the mesenteric defect. Our patient had a unique management, performing a conversion to Roux-en-Y gastric bypass with dissection of the biliopancreatic limb at the anastomosis and creation of a variable foot-point anastomosis with excellent mid-term post-operative results. This should provide better long-term results as compared to simple mesenteric closure, avoiding the complications of mini gastric bypass technique.