Surgery and considerations for the repair of Petersen's space hernia after mini gastric bypass

• Main Authors: Borja Camacho Fernández-Pacheco, Eudaldo López-Tomassetti Fernández, Juan Ramón Hernández Hernández
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Mini bypass; obesity surgery; Petersen's hernia
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2018;volume=14;issue=1;spage=58;epage=60;aulast=Camacho

This paper reports a case of Petersen's space hernia after mini gastric bypass. This is an anecdotal post-operative complication in the mini gastric bypass technique, with an estimated rate of 1/5000 cases. Similar cases described in the literature were treated by the surgical hernia reduction and the closure of the mesenteric defect. Our patient had a unique management, performing a conversion to Roux-en-Y gastric bypass with dissection of the biliopancreatic limb at the anastomosis and creation of a variable foot-point anastomosis with excellent mid-term post-operative results. This should provide better long-term results as compared to simple mesenteric closure, avoiding the complications of mini gastric bypass technique.