Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy.

dc.contributor.author

Moris, Demetrios

dc.contributor.author

Tsilimigras, Diamantis I

dc.contributor.author

Yerokun, Babatunde

dc.contributor.author

Seymour, Keri A

dc.contributor.author

Guerron, Alfredo D

dc.contributor.author

Fong, Philip A

dc.contributor.author

Spartalis, Eleftherios

dc.contributor.author

Sudan, Ranjan

dc.date.accessioned

2019-09-06T12:59:49Z

dc.date.available

2019-09-06T12:59:49Z

dc.date.issued

2019-08-16

dc.date.updated

2019-09-06T12:59:48Z

dc.description.abstract

Foramen of Winslow hernia (FWH) is an extremely rare entity accounting for up to 8% of internal hernias and 0.08% of all hernias. Only 150 cases of FWH have been described in the literature to date with a peak incidence between the third and sixth decades of life. Three main mechanisms seem to be implicated in the FWH pathogenesis: (a) excessive viscera mobility, (b) abnormal enlargement of the foramen of Winslow, and (c) changes in the intra-abdominal pressure. The presence of an abnormally long bowel, enlargement of the right liver lobe or cholecystectomy, a "wandering cecum," and defects of the gastrohepatic ligaments are some reported predisposing factors. Timely diagnosis through computed tomography facilitates the appropriate treatment before complications are evident. Although open repair has been mostly utilized, recently laparoscopic approach seems to gain ground due to the encouraging preliminary results. To date, the debate continues as to whether prophylactic measures to prevent recurrence of the FWH need to be undertaken: closure of the foramen, fixation of the highly mobilized viscera, or both.

dc.identifier

10.1007/s11605-019-04353-3

dc.identifier.issn

1091-255X

dc.identifier.issn

1873-4626

dc.identifier.uri

https://hdl.handle.net/10161/19295

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

dc.relation.isversionof

10.1007/s11605-019-04353-3

dc.subject

Foramen of Winslow

dc.subject

Internal hernia

dc.subject

Intestinal incarceration

dc.title

Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy.

dc.type

Journal article

duke.contributor.orcid

Moris, Demetrios|0000-0002-5276-0699

duke.contributor.orcid

Yerokun, Babatunde|0000-0003-2663-8283

duke.contributor.orcid

Seymour, Keri A|0000-0002-2735-0786

duke.contributor.orcid

Guerron, Alfredo D|0000-0002-4632-1681

duke.contributor.orcid

Sudan, Ranjan|0000-0002-4231-242X

pubs.organisational-group

Staff

pubs.organisational-group

Duke

pubs.organisational-group

Surgery

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

School of Medicine

pubs.organisational-group

Surgery, Metabolic and Weight Loss Surgery

pubs.publication-status

Published

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Moris2019_Article_ForamenOfWinslowHerniaAReviewO.pdf
Size:
866.57 KB
Format:
Adobe Portable Document Format