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

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dc.contributor.authorLopera, C. A.
dc.contributor.authorVergnaud, J. P.
dc.contributor.authorCabrera, Luis Felipe
dc.contributor.authorSánchez, Sebastian
dc.contributor.authorPedraza Ciro, Mauricio
dc.contributor.authorVinck, Eric
dc.contributor.authorPulido Segura, Jean Andre
dc.contributor.orcidPedraza Ciro, Mauricio [0000-0001-8726-5578]
dc.contributor.orcidPulido Segura, Jean Andre [0000-0003-2628-696X]
dc.date.accessioned2020-07-09T22:52:31Z
dc.date.available2020-07-09T22:52:31Z
dc.description.abstractenglishIntroduction: 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. Methods: 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. Results and conclusions: 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 developed Petersen's internal hernia at an average of 22-month post-op, incidence of 0.1%. We analyzed and compared our results with those reported in the literature. Petersen's space closure immediately after a LGBP with an alimentary loop in the anterior colic position (prophylactic herniorrhaphy) with non-interrupted non-absorbable suture is a useful, safe, and effective technique to prevent the development of Petersen's IH during the post-operative period following LGBP.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1007/s10029-018-1814-0
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1265-4906
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3408
dc.language.isoeng
dc.publisherSpringer Naturespa
dc.publisher.journalHernia : the journal of hernias and abdominal wall surgeryspa
dc.relation.ispartofseriesHernia : the journal of hernias and abdominal wall surgery, 1265-4906, Vol. 22, Nro. 6, p. 1077-1081spa
dc.relation.urihttps://link.springer.com/article/10.1007%2Fs10029-018-1814-0
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2018-04-28
dc.rights.localAcceso abiertospa
dc.subject.decsLaparoscopíaspa
dc.subject.decsMesenteriospa
dc.subject.decsTécnicas de suturaspa
dc.subject.keywordsBariatric surgeryspa
dc.subject.keywordsGastric bypassspa
dc.subject.keywordsHerniorrhaphyspa
dc.titlePreventative laparoscopic repair of Petersen’s space following gastric bypass surgery reduces the incidence of Petersen’s hernia: a comparative studyspa
dc.title.translatedPreventative laparoscopic repair of Petersen’s space following gastric bypass surgery reduces the incidence of Petersen’s hernia: a comparative studyspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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