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Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy.
J Gastrointest Surg 2019; 23(10):2093-2099JG

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.

Authors+Show Affiliations

Department of Surgery, Duke University, Durham, NC, USA.Laboratory of Experimental Surgery and Surgical Research, Medical School, University of Athens, Athens, Greece.Department of Surgery, Duke University, Durham, NC, USA.Department of Surgery, Duke University, Durham, NC, USA.Department of Surgery, Duke University, Durham, NC, USA.Department of Surgery, Duke University, Durham, NC, USA.Laboratory of Experimental Surgery and Surgical Research, Medical School, University of Athens, Athens, Greece.Department of Surgery, Duke University, Durham, NC, USA. ranjan.sudan@duke.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31420858

Citation

Moris, Demetrios, et al. "Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy." Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract, vol. 23, no. 10, 2019, pp. 2093-2099.
Moris D, Tsilimigras DI, Yerokun B, et al. Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. J Gastrointest Surg. 2019;23(10):2093-2099.
Moris, D., Tsilimigras, D. I., Yerokun, B., Seymour, K. A., Guerron, A. D., Fong, P. A., ... Sudan, R. (2019). Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract, 23(10), pp. 2093-2099. doi:10.1007/s11605-019-04353-3.
Moris D, et al. Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. J Gastrointest Surg. 2019;23(10):2093-2099. PubMed PMID: 31420858.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. AU - Moris,Demetrios, AU - Tsilimigras,Diamantis I, AU - Yerokun,Babatunde, AU - Seymour,Keri A, AU - Guerron,Alfredo D, AU - Fong,Philip A, AU - Spartalis,Eleftherios, AU - Sudan,Ranjan, Y1 - 2019/08/16/ PY - 2018/06/20/received PY - 2019/07/29/accepted PY - 2019/8/20/pubmed PY - 2019/8/20/medline PY - 2019/8/18/entrez KW - Foramen of Winslow KW - Internal hernia KW - Intestinal incarceration SP - 2093 EP - 2099 JF - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract JO - J. Gastrointest. Surg. VL - 23 IS - 10 N2 - 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. SN - 1873-4626 UR - https://www.unboundmedicine.com/medline/citation/31420858/Foramen_of_Winslow_Hernia:_a_Review_of_the_Literature_Highlighting_the_Role_of_Laparoscopy L2 - https://dx.doi.org/10.1007/s11605-019-04353-3 DB - PRIME DP - Unbound Medicine ER -