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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
LOPEZ-MORALES, Pedro; GONZALEZ-VALVERDE, Francisco M. and ALBARRACIN-MARIN-BLAZQUEZ, Antonio. Petersen’s space hernia after gastric bypass. Cir. cir. [online]. 2020, vol.88, n.6, pp.772-775. Epub Nov 08, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000905.
Petersen’s space hernia is the most frequent location of internal hernia after a laparoscopic gastric bypass. The diagnosis or a high suspicion of internal herniation are indications for urgent surgery. We present the case of a patient who required an exploratory laparoscopy. He had a computed tomography compatible with internal herniation. We found a Petersen’s space hernia and a jejunojenustomy defect. We reduced the protruded loops and we closed both mesenteric defects. The closure of mesenteric defects in primary surgery is a controversial matter. Overall, it is recommended to close them.
Keywords : Laparoscopic gastric bypass; Bariatric surgery; Petersen’s space hernia; Internal hernia.