Foramen of Winslow hernia: a minimally invasive approach
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 decompressio...
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| Veröffentlicht in: | Surgical endoscopy 2015-08, Vol.29 (8), p.2385-2388 |
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| creator | Harnsberger, Cristina R. McLemore, Elisabeth C. Broderick, Ryan C. Fuchs, Hans F. Yu, Peter T. Berducci, Martin Beck, Catherine Almadani, Moneer Jacobsen, Garth R. Horgan, Santiago |
| description | 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. |
| doi_str_mv | 10.1007/s00464-014-3944-5 |
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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. 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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.</description><subject>Abdomen</subject><subject>Abdominal Surgery</subject><subject>Case reports</subject><subject>Cecum - blood supply</subject><subject>Cecum - surgery</subject><subject>Colectomy - methods</subject><subject>Colon</subject><subject>Colon - blood supply</subject><subject>Colon - surgery</subject><subject>Decompression, Surgical - instrumentation</subject><subject>Decompression, Surgical - methods</subject><subject>Dynamic Manuscript</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Hernia, Abdominal - surgery</subject><subject>Hernias</subject><subject>Humans</subject><subject>Ischemia - etiology</subject><subject>Ischemia - surgery</subject><subject>Laparoscopy</subject><subject>Laparotomy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesentery</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Proctology</subject><subject>Small intestine</subject><subject>Stomach</subject><subject>Surgery</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OIlmkmy2cabFKtCwYviMWR3Z-2W_ahJt9J_b5atIoKnIcwz70weQs6BXQNjyY1nTCpJGUgqtJQ0PiBjkIJTzmF6SMZMC0Z5ouWInHi_YgHXEB-TEY-FAhXrMZnOW2drbKK2iN7KxlftZ7RE15T2NrJRXTZlbatqF5XN1vpyi5Fdr11rs-UpOSps5fFsXyfkdX7_Mnuki-eHp9ndgmYi4RtqRaHA8hwF5okVKZsyhVJrZjNeJFPF0zwDJcCi5Zm2eawgPEWaYpELLISYkKshN6z96NBvTF36DKvKNth23oDSCQeQcY9e_kFXbeeacF1PKcW1AB0oGKjMtd47LMzahU-6nQFmeq1m0GqCVtNrNXGYudgnd2mN-c_Et8cA8AHwodW8o_u1-t_ULzQcgWE</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Harnsberger, Cristina R.</creator><creator>McLemore, Elisabeth C.</creator><creator>Broderick, Ryan C.</creator><creator>Fuchs, Hans F.</creator><creator>Yu, Peter T.</creator><creator>Berducci, Martin</creator><creator>Beck, Catherine</creator><creator>Almadani, Moneer</creator><creator>Jacobsen, Garth R.</creator><creator>Horgan, Santiago</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150801</creationdate><title>Foramen of Winslow hernia: a minimally invasive approach</title><author>Harnsberger, Cristina R. ; 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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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25361659</pmid><doi>10.1007/s00464-014-3944-5</doi><tpages>4</tpages></addata></record> |
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| subjects | Abdomen Abdominal Surgery Case reports Cecum - blood supply Cecum - surgery Colectomy - methods Colon Colon - blood supply Colon - surgery Decompression, Surgical - instrumentation Decompression, Surgical - methods Dynamic Manuscript Female Gastroenterology Gynecology Hepatology Hernia, Abdominal - surgery Hernias Humans Ischemia - etiology Ischemia - surgery Laparoscopy Laparotomy Medicine Medicine & Public Health Mesentery Middle Aged Mortality Proctology Small intestine Stomach Surgery |
| title | Foramen of Winslow hernia: a minimally invasive approach |
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