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