Erschienen in:
01.08.2015 | Dynamic Manuscript
Foramen of Winslow hernia: a minimally invasive approach
verfasst von:
Cristina R. Harnsberger, Elisabeth C. McLemore, Ryan C. Broderick, Hans F. Fuchs, Peter T. Yu, Martin Berducci, Catherine Beck, Moneer Almadani, Garth R. Jacobsen, Santiago Horgan
Erschienen in:
Surgical Endoscopy
|
Ausgabe 8/2015
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Abstract
Hernias through the foramen of Winslow comprise 8 % of all internal hernias and the majority contain incarcerated bowel. Clinical signs are often non-specific and delay in diagnosis associated with a mortality rate that approaches 50 %. Management is urgent surgical reduction with bowel decompression and resection of devitalized bowel. A foramen of Winslow hernia (FWH) has traditionally been managed via an exploratory laparotomy incision and the vast majority of cases describe an open approach. We describe a minimally invasive approach to the management of an incarcerated FWH requiring decompression and bowel resection.