Edoardo Bassini (1844–1924) introduced a brilliant triplelayer reconstruction (internal oblique muscle and transverse and transversalis fascia secured with the filzetta stitch) of the inguinal canal for the “radical” cure of hernia very soon thereafter in 1894.2 He reported a low infection and recurrence rate. Unfortunately, Bassini’s principles of hernia repair—a triple layer repair—did not be...

Internal hernia is a relatively uncommon condition and rare type of intestinal obstruction. Paraduodenal considered the most common internal hernias. The prevalence variable symptoms make clinical diagnosis paraduodenal diagnostic challenge. We present case acute obstruction by left para-duodenal treatedat general surgery department Mohammed VI University Hospital Center in Marrakech, Morocco i...

Since laparoscopic percutaneous extra peritoneal closure (LPEC) was introduced as a treatment for pediatric inguinal hernia in 2000, the procedure has been the most common surgical technique for repairing pediatric inguinal hernia in Japan. Research date shows that LPEC and conventional open repair have equivalent rates of recurrence and of postoperative complications. In addition, if contra la...

Gallbladder diverticula have the appearance of hernia-like protrusions of the gallbladder wall. This disorder may not be diagnosed until surgically resected because it has no clinical significance unless there are associated diseases. Gallbladder pseudodiverticula have an acquired cause, multiple fundal lesions, an association with gallstones, internal saccular lesions without external hernia-l...

Internal herniation of small intestine is a very rare entity, and it poses a real diagnostic challenge clinically. Recurrent entrapment of the bowel may lead to partial to complete intestinal obstruction and eventually strangulation of the small bowel. Of this rare clinical entity, left paraduodenal hernia is more common. High index of suspicion with prompt management may prevent bowel strangul...

Peterson's hernia is an internal hernia that can occur after Roux-en-Y anastomosis. It often accompanies small bowel volvulus and is prone to strangulation. Reconstruction of intestinal continuity after massive small bowel resection in a patient who undergoes near total gastrectomy and Roux-en-Y anastomosis can be difficult. A 74-year-old man who had undergone a near total gastrectomy and Roux-...

Trans-mesenteric hernia is a form of internal hernia which is an extremely rare cause of intestinal obstruction in adults compared with the pediatric population. It often presents with complications such as acute intestinal obstruction and peritonitis requiring immediate surgical intervention. We report a case of a 21-year-old woman who presented to us with an acute abdomen and peritonitis that...

Repairing large incisional hernia with abdominal wall reconstruction is a technically challenging problem for surgeons. We report our experience of large midline incisional hernia which was repaired successfully with components separation technique. A patient with incisional hernia, 35 × 20 cm in size, underwent operation following standard components separation technique. The aponeurosis of th...

Para-duodenal hernias are the most frequent type of congenital internal hernia. It is observed that left para-duodenal hernia about three times more common than right counterpart.This case serves as an example how bowel obstruction brought on by a paraduodenal typically manifests severe abdominal pain worsens quickly. Considering it closed loop obstruction, early damage results, which explains ...

INTRODUCTION The detailed knowledge of the peritoneal recesses has great significance with respect to internal hernias. The recesses are usually related to rotation and adhesion of abdominal viscera to the posterior abdominal wall and/or the presence of retroperitoneal vessels which raises the serosal fold. The duodenal recesses are usually related to the 3rd and 4th parts of the duodenum. Inte...