Background: Internal hernias are an infrequent entity, accounting for only between four and six percent of small bowel obstructions, but being associated with a high mortality rate when strangulated. An error during the second stage of embryological development causes the small bowel to become trapped under the mesentery of the rotating colon, resulting in an internal hernia behind the superior mesenteric artery and inferior to the third stage of the duodenum. This should be repaired given the l
This video documents the performance of paraesophageal hernia repair in the setting of situs inversus totalis. This requires altering the operative approach to safely and effectively perform this complex foregut operation. There is a paucity of videos on complex foregut surgery in situs inversus.
This video illustrates the three dimensional anatomy of a lumbar hernia and a technique for laparoscopic trans-abdominal repair with mesh.
Introduction:
Morgagni-Larrey hernias are a defect of the anterior diaphragm within the sternocostal triangle. These hernias are rare and comprise less than 5% of all diaphragmatic hernias. Bilateral Morgagni-Larrey hernias are exceptionally rare. Most are diagnosed in the 5th decade of life, and a majority of patients are symptomatic with pulmonary complaints being the most common.
Methods:
We report two cases of Morgagni-Larrey hernias. The first is a 53-year old asymptomatic gentleman with
This video demonstrates a laparoscopic excision of a type I choledochal cyst in a 17 year old female patient. She presented with right upper quadrant pain and was subsequently found to have common bile duct dilation greater than 2 cm by MRCP. The operation is shown and explanation of each step is given. The distal extent of the cyst is located within the head of the pancreas and dissection of the common bile duct out of the head of the pancreas is shown. Reconstruction was performed in a singl