Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature

Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative per...
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Gespeichert in:

Autor*in:	Danilo Tueme-de la Peña [verfasserIn] José Adolfo Acosta-Flores [verfasserIn] Alan Alejandro Garza-Cantú [verfasserIn] Hugo Antonio Rangel-Ríos [verfasserIn] Alberto Félix Chapa-Lobo [verfasserIn] Luis Enrique Salgado-Cruz [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	laparoscopic left hemicolectomy internal hernia lesser omental sac mesenteric defect laparoscopic low anterior resection

Übergeordnetes Werk:	In: Journal of Coloproctology - Thieme Revinter Publicações Ltda., 2018, 42(2022), 04, Seite 348-351
Übergeordnetes Werk:	volume:42 ; year:2022 ; number:04 ; pages:348-351

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1055/s-0042-1759608

Katalog-ID:	DOAJ082943214

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520			\|a Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management.
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spelling	10.1055/s-0042-1759608 doi (DE-627)DOAJ082943214 (DE-599)DOAJ5554ace836544f019922518d308f75c5 DE-627 ger DE-627 rakwb eng RC799-869 Danilo Tueme-de la Peña verfasserin aut Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management. laparoscopic left hemicolectomy internal hernia lesser omental sac mesenteric defect laparoscopic low anterior resection Diseases of the digestive system. Gastroenterology José Adolfo Acosta-Flores verfasserin aut Alan Alejandro Garza-Cantú verfasserin aut Hugo Antonio Rangel-Ríos verfasserin aut Alberto Félix Chapa-Lobo verfasserin aut Luis Enrique Salgado-Cruz verfasserin aut In Journal of Coloproctology Thieme Revinter Publicações Ltda., 2018 42(2022), 04, Seite 348-351 (DE-627)718679504 (DE-600)2664477-0 23176423 nnns volume:42 year:2022 number:04 pages:348-351 https://doi.org/10.1055/s-0042-1759608 kostenfrei https://doaj.org/article/5554ace836544f019922518d308f75c5 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759608 kostenfrei https://doaj.org/toc/2237-9363 Journal toc kostenfrei https://doaj.org/toc/2317-6423 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 42 2022 04 348-351
allfields_unstemmed	10.1055/s-0042-1759608 doi (DE-627)DOAJ082943214 (DE-599)DOAJ5554ace836544f019922518d308f75c5 DE-627 ger DE-627 rakwb eng RC799-869 Danilo Tueme-de la Peña verfasserin aut Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management. laparoscopic left hemicolectomy internal hernia lesser omental sac mesenteric defect laparoscopic low anterior resection Diseases of the digestive system. Gastroenterology José Adolfo Acosta-Flores verfasserin aut Alan Alejandro Garza-Cantú verfasserin aut Hugo Antonio Rangel-Ríos verfasserin aut Alberto Félix Chapa-Lobo verfasserin aut Luis Enrique Salgado-Cruz verfasserin aut In Journal of Coloproctology Thieme Revinter Publicações Ltda., 2018 42(2022), 04, Seite 348-351 (DE-627)718679504 (DE-600)2664477-0 23176423 nnns volume:42 year:2022 number:04 pages:348-351 https://doi.org/10.1055/s-0042-1759608 kostenfrei https://doaj.org/article/5554ace836544f019922518d308f75c5 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759608 kostenfrei https://doaj.org/toc/2237-9363 Journal toc kostenfrei https://doaj.org/toc/2317-6423 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 42 2022 04 348-351
allfieldsGer	10.1055/s-0042-1759608 doi (DE-627)DOAJ082943214 (DE-599)DOAJ5554ace836544f019922518d308f75c5 DE-627 ger DE-627 rakwb eng RC799-869 Danilo Tueme-de la Peña verfasserin aut Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management. laparoscopic left hemicolectomy internal hernia lesser omental sac mesenteric defect laparoscopic low anterior resection Diseases of the digestive system. Gastroenterology José Adolfo Acosta-Flores verfasserin aut Alan Alejandro Garza-Cantú verfasserin aut Hugo Antonio Rangel-Ríos verfasserin aut Alberto Félix Chapa-Lobo verfasserin aut Luis Enrique Salgado-Cruz verfasserin aut In Journal of Coloproctology Thieme Revinter Publicações Ltda., 2018 42(2022), 04, Seite 348-351 (DE-627)718679504 (DE-600)2664477-0 23176423 nnns volume:42 year:2022 number:04 pages:348-351 https://doi.org/10.1055/s-0042-1759608 kostenfrei https://doaj.org/article/5554ace836544f019922518d308f75c5 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759608 kostenfrei https://doaj.org/toc/2237-9363 Journal toc kostenfrei https://doaj.org/toc/2317-6423 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 42 2022 04 348-351
allfieldsSound	10.1055/s-0042-1759608 doi (DE-627)DOAJ082943214 (DE-599)DOAJ5554ace836544f019922518d308f75c5 DE-627 ger DE-627 rakwb eng RC799-869 Danilo Tueme-de la Peña verfasserin aut Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management. laparoscopic left hemicolectomy internal hernia lesser omental sac mesenteric defect laparoscopic low anterior resection Diseases of the digestive system. Gastroenterology José Adolfo Acosta-Flores verfasserin aut Alan Alejandro Garza-Cantú verfasserin aut Hugo Antonio Rangel-Ríos verfasserin aut Alberto Félix Chapa-Lobo verfasserin aut Luis Enrique Salgado-Cruz verfasserin aut In Journal of Coloproctology Thieme Revinter Publicações Ltda., 2018 42(2022), 04, Seite 348-351 (DE-627)718679504 (DE-600)2664477-0 23176423 nnns volume:42 year:2022 number:04 pages:348-351 https://doi.org/10.1055/s-0042-1759608 kostenfrei https://doaj.org/article/5554ace836544f019922518d308f75c5 kostenfrei http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759608 kostenfrei https://doaj.org/toc/2237-9363 Journal toc kostenfrei https://doaj.org/toc/2317-6423 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_267 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 42 2022 04 348-351
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One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. 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callnumber-first	R - Medicine
author	Danilo Tueme-de la Peña
spellingShingle	Danilo Tueme-de la Peña misc RC799-869 misc laparoscopic left hemicolectomy misc internal hernia misc lesser omental sac misc mesenteric defect misc laparoscopic low anterior resection misc Diseases of the digestive system. Gastroenterology Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature
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topic_title	RC799-869 Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature laparoscopic left hemicolectomy internal hernia lesser omental sac mesenteric defect laparoscopic low anterior resection
topic	misc RC799-869 misc laparoscopic left hemicolectomy misc internal hernia misc lesser omental sac misc mesenteric defect misc laparoscopic low anterior resection misc Diseases of the digestive system. Gastroenterology
topic_unstemmed	misc RC799-869 misc laparoscopic left hemicolectomy misc internal hernia misc lesser omental sac misc mesenteric defect misc laparoscopic low anterior resection misc Diseases of the digestive system. Gastroenterology
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title	Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature
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title_full	Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature
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author_browse	Danilo Tueme-de la Peña José Adolfo Acosta-Flores Alan Alejandro Garza-Cantú Hugo Antonio Rangel-Ríos Alberto Félix Chapa-Lobo Luis Enrique Salgado-Cruz
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title_sort	internal hernia after laparoscopic left colectomy: case series and review of the literature
callnumber	RC799-869
title_auth	Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature
abstract	Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management.
abstractGer	Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management.
abstract_unstemmed	Objective Laparoscopic colectomy has gained acceptance as a standard treatment for benign and malignant colorectal disease, such as diverticular disease and cancer, among others. Same as in open surgery, the laparoscopic approach carries a low risk of small bowel obstruction in the postoperative period, but in laparoscopic surgery, internal hernia after laparoscopic left colectomy may be a cause of small bowel obstruction with a significant risk of morbidity and mortality. This rare complication may be prevented with routine closure of the mesenteric defects created during the colectomy. Methods We present four cases of internal herniation after laparoscopic colectomy. Two cases were after laparoscopic left colectomy and two after laparoscopic low anterior resection. All four cases had full splenic flexure mobilization. Routine closure of the mesenteric defect was not performed in the initial surgery. Results The four patients were treated by laparoscopic reintervention with closure of the mesenteric defect. In two of them, conversion to open surgery was necessary. One of the patients developed recurrent internal herniation after surgical reintervention with mesenteric closure of the defect. All patients were managed without need for bowel resection, and mortality rate was 0%. Conclusion Internal herniation after laparoscopic colorectal surgery is a highly morbid complication that requires prompt diagnosis and management and should be suspected in the early postoperative period. Additional studies with extended follow-up are required to establish recommendations regarding its prevention and management.
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title_short	Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature
url	https://doi.org/10.1055/s-0042-1759608 https://doaj.org/article/5554ace836544f019922518d308f75c5 http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1759608 https://doaj.org/toc/2237-9363 https://doaj.org/toc/2317-6423
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author2	José Adolfo Acosta-Flores Alan Alejandro Garza-Cantú Hugo Antonio Rangel-Ríos Alberto Félix Chapa-Lobo Luis Enrique Salgado-Cruz
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up_date	2024-07-03T14:39:58.257Z
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code="i">In</subfield><subfield code="t">Journal of Coloproctology</subfield><subfield code="d">Thieme Revinter Publicações Ltda., 2018</subfield><subfield code="g">42(2022), 04, Seite 348-351</subfield><subfield code="w">(DE-627)718679504</subfield><subfield code="w">(DE-600)2664477-0</subfield><subfield code="x">23176423</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:42</subfield><subfield code="g">year:2022</subfield><subfield code="g">number:04</subfield><subfield code="g">pages:348-351</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.1055/s-0042-1759608</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/5554ace836544f019922518d308f75c5</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield 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Internal Hernia After Laparoscopic Left Colectomy: Case Series and Review of the Literature

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