Small Bowel Laparoscopic Resection for Strangulated Umbilical Hernia

Laparoscopic small bowel resection is a general accepted technique for small bowel tumors and diverticulum. However, the laparoscopic approach for intestinal resection for strangulated hernias is still controversial. This video presents the case of a 49 years old woman admitted for strangulated umbilical hernia. The patient was diagnosed with morbid obesity with a BMI of 51.3 kg/m 2 . A laparoscopic approach was performed; the exploration confirmed the strangulated umbilical hernia containing small bowel. Kelotomy was necessary to reduce the small bowel. Given the ischemic injuries of the herniated small bowel segment, the resection with side-to-side stapled anastomosis was then performed. The hernia sac was also resected. The parietal defect was then closed by conventional non absorbable running suture. The postoperative course was uneventful and the patient was discharged in the 4 th postoperative day. CONCLUSION: Even the laparoscopic small bowel resection for strangulated hernia is controversial the technique is feasible and safe in obese patients and could avoid operative site infection.