Internal Hernias and Nonclosure of Mesenteric Defects During Laparoscopic Roux-en-Y Gastric Bypass

• Published in: Obesity surgery Vol. 19; no. 5; pp. 549 - 552
• Main Authors: Madan, Atul K., Lo Menzo, Emanuele, Dhawan, Naveen, Tichansky, David S.
• Format: Journal Article
• Language: English
• Published: New York Springer New York 01.05.2009; Springer Nature B.V
• Subjects: Clinical outcomes; Cohort Studies; Gastric Bypass - methods; Gastrointestinal surgery; Hernia, Abdominal - epidemiology; Hernias; Humans; Laparoscopy; Medicine; Medicine & Public Health; Mesentery - pathology; Mesentery - surgery; Morbidity; Obesity; Obesity, Morbid - complications; Obesity, Morbid - pathology; Obesity, Morbid - surgery; Reoperation; Research Article; Retrospective Studies; Risk Factors; Surgery; Suture Techniques; Time Factors; Laparoscopic gastric bypass; Laparoscopy; Roux-en-Y gastric bypass; Morbid obesity; Internal hernia; Bariatric surgery

Background Internal hernias have been described after laparoscopic Roux-en-Y gastric bypass (LRYGB) as a major problem. Thus, many routinely close defects during LRYGB. In our technique, we do not close any defects. We hypothesize that not closing the defects would not cause a significant internal h...