Richter's hernia in the laparoscopic era: Four case reports and review of the literature

Judy C Boughey, James M. Nottingham, Allan C. Walls

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Richter's hernia can occur at trocar sites after laparoscopic procedures, and 10-mm or larger ports are the usual culprits. Most surgeons now routinely close the fascia of these sites to prevent herniation. The usual presentation is of crampy abdominal pain with nausea and vomiting. Treatment is reduction of the bowel that is incarcerated and then repair of the fascial defect. We describe four cases of Richter's hernia after laparoscopy, two that were repaired by open procedure and two that were repaired laparoscopically, and review the literature. A laparoscopic hernia repair is acceptable treatment at the time of diagnosis, especially in the obese patient, as long as the incarcerated bowel is not compromised or frankly ischemic.

Original languageEnglish (US)
Pages (from-to)55-58
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume13
Issue number1
DOIs
StatePublished - Feb 2003
Externally publishedYes

Fingerprint

Hernia
Herniorrhaphy
Fascia
Surgical Instruments
Laparoscopy
Nausea
Abdominal Pain
Vomiting
Therapeutics
Surgeons

Keywords

  • Hernia repair
  • Laparoscopy
  • Richter's Richter's hernia

ASJC Scopus subject areas

  • Surgery

Cite this

Richter's hernia in the laparoscopic era : Four case reports and review of the literature. / Boughey, Judy C; Nottingham, James M.; Walls, Allan C.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 13, No. 1, 02.2003, p. 55-58.

Research output: Contribution to journalArticle

@article{ad417c8b2e834fd38eda857406f34fca,
title = "Richter's hernia in the laparoscopic era: Four case reports and review of the literature",
abstract = "Richter's hernia can occur at trocar sites after laparoscopic procedures, and 10-mm or larger ports are the usual culprits. Most surgeons now routinely close the fascia of these sites to prevent herniation. The usual presentation is of crampy abdominal pain with nausea and vomiting. Treatment is reduction of the bowel that is incarcerated and then repair of the fascial defect. We describe four cases of Richter's hernia after laparoscopy, two that were repaired by open procedure and two that were repaired laparoscopically, and review the literature. A laparoscopic hernia repair is acceptable treatment at the time of diagnosis, especially in the obese patient, as long as the incarcerated bowel is not compromised or frankly ischemic.",
keywords = "Hernia repair, Laparoscopy, Richter's Richter's hernia",
author = "Boughey, {Judy C} and Nottingham, {James M.} and Walls, {Allan C.}",
year = "2003",
month = "2",
doi = "10.1097/00129689-200302000-00014",
language = "English (US)",
volume = "13",
pages = "55--58",
journal = "Surgical Laparoscopy, Endoscopy and Percutaneous Techniques",
issn = "1051-7200",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Richter's hernia in the laparoscopic era

T2 - Four case reports and review of the literature

AU - Boughey, Judy C

AU - Nottingham, James M.

AU - Walls, Allan C.

PY - 2003/2

Y1 - 2003/2

N2 - Richter's hernia can occur at trocar sites after laparoscopic procedures, and 10-mm or larger ports are the usual culprits. Most surgeons now routinely close the fascia of these sites to prevent herniation. The usual presentation is of crampy abdominal pain with nausea and vomiting. Treatment is reduction of the bowel that is incarcerated and then repair of the fascial defect. We describe four cases of Richter's hernia after laparoscopy, two that were repaired by open procedure and two that were repaired laparoscopically, and review the literature. A laparoscopic hernia repair is acceptable treatment at the time of diagnosis, especially in the obese patient, as long as the incarcerated bowel is not compromised or frankly ischemic.

AB - Richter's hernia can occur at trocar sites after laparoscopic procedures, and 10-mm or larger ports are the usual culprits. Most surgeons now routinely close the fascia of these sites to prevent herniation. The usual presentation is of crampy abdominal pain with nausea and vomiting. Treatment is reduction of the bowel that is incarcerated and then repair of the fascial defect. We describe four cases of Richter's hernia after laparoscopy, two that were repaired by open procedure and two that were repaired laparoscopically, and review the literature. A laparoscopic hernia repair is acceptable treatment at the time of diagnosis, especially in the obese patient, as long as the incarcerated bowel is not compromised or frankly ischemic.

KW - Hernia repair

KW - Laparoscopy

KW - Richter's Richter's hernia

UR - http://www.scopus.com/inward/record.url?scp=0037296856&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037296856&partnerID=8YFLogxK

U2 - 10.1097/00129689-200302000-00014

DO - 10.1097/00129689-200302000-00014

M3 - Article

C2 - 12598762

AN - SCOPUS:0037296856

VL - 13

SP - 55

EP - 58

JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

SN - 1051-7200

IS - 1

ER -