FORAMEN OF WINSLOW HERNIA: A MINIMALLY INVASIVE APPROACH
Presented by Cristina R Harnsberger, MD at the SAGES 2014 Meeting; Panel – Concurrent Session SS2 Video 1
Cristina R Harnsberger, MD, Elisabeth C McLemore, MD, Ryan C Broderick, MD, Peter Yu, MD, Martin A Berducci, MD, Catherine Beck, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD; UNIVERSITY OF CALIFORNIA, SAN DIEGO
Points of interest:
HPI–6 sec
diagram of epiploic foramen–21 sec
CT scan of hernia–33 sec
overview–50 sec
procedure begins–1:10
hernia reduction–1:30
bowel decompression–1:54
harvesting
Keyword(s): 18G angiocath, achieved, anastomosis, anterior stomach, ascending colon, aspiration, atraumatic bowel graspers, colotomy, contamination, CT scan, decompress bowel, decompressed ascending colon, define anatomy, dilated bowel, duodenum, elevated lactate, enlarged foramen, epiploic foramen, episodes of volvulus, extremely dilated cecum, facilitate reduction, female, Foramen of Winslow hernia, gallbladder, gentle traction, greater omentum, greater sac, harvest omentum, hepatoduodenal ligament, hernia defect, herniated viscera, herniation of cecum and ascending colon, HPI, ileocolic resection, incarcerated right colon and terminal ileum, inspection confirms, instrument, internal hernia involving the cecum, key steps, laparoscopic visualization, lesser sac, liver, long term complications, manual reduction, mildly distended, minimally invasive approach, minimize tension, mobilized, no prior operations, non-fixed redudant cecum and ascending colon, obliterate hernia defect, occlude the tract, omental foramen, omental occlusion, omentum, open surgical management, overview, passed, peritoneal irritation, peritoneal signs, periumbilical resection, portal triad, post op, predisposed, presented to the ED, preventative right hemicolectomy, prompt return of bowel function, prophylactic, proximally, reduce hernia, removed, segment of bowel, short term complications, single suture, specimen extracted, stomach, surgical steps, suture material, syringe, terminal ileum, transabdominally, unable to reduce, worsening, diffuse ABD pain