Laparoscopic Repair of Right Paraduodenal Hernia in Adult Patients: Case Report and Literature Review

Table 1

Characteristics of adult (>18 years) patients in Japan who underwent laparoscopic repair of right or left PDH.

	All	Right	Left
	29	8	21
Age (years), median (range)	52.3 (20–80)	56 (23–80)	50 (20–80)
Male/female ratio	16/13	4/4	12/9
Symptoms
Abdominal pain	25	8	17
Nausea/vomiting	16	6	10
Abdominal distention	3	0	3
Constipation/other	2	0	2
Time from initial symptoms to diagnosis
Early (<24 hours/1–7 days/7 days–3 months)	5/5/3	2/3/0	3/2/3
Late (3 months–1 year/>1 year/not described)	2/11/3	0/3/0	2/8/3
Timing of surgery
Emergency	16	6	10
Elective	11	2	9
Not described	2	0	2
Surgical methods
Total laparoscopy	22	7	15
Laparoscopy plus minilaparotomy	3	0	3
Laparotomy migration	4	1	3
Laparoscopic procedures
Closure of hernial orifice	21	2	19
Release of hernia sac	8	6	2
Outcome
Complete recovery	22	6	16
Postoperative conservative treatment for intestinal obstruction	5	1	4
Second operation needed	2	1	1

PDH: paraduodenal hernia. Including one patient simultaneously diagnosed with inguinal hernia and PDH.