Robotic repair of a right paraduodenal hernia: a clinical presentation and management

Abstract

Paraduodenal hernias are rare internal hernias in which the small intestine becomes trapped behind the mesentery of the colon. These hernias can lead to bowel obstruction and ischaemia, making early diagnosis and intervention crucial. Patients often exhibit non-specific symptoms, highlighting the importance of using CT imaging for diagnosis. Prompt surgical correction is necessary to prevent severe complications such as bowel ischaemia or necrosis. While open and laparoscopic approaches are well-established, there is limited evidence on the robotic repair of paraduodenal hernias as a minimally invasive technique. This case report describes a man in his early 30s who presented with persistent abdominal pain and vomiting. Imaging revealed a right paraduodenal hernia with characteristic CT findings showing clustered jejunal loops and abnormal mesenteric rotation. The patient successfully underwent robotic hernia repair, which involved identifying and reducing the hernia sac and securing the defect with polypropylene sutures. The postoperative recovery was complication-free. This case underscores the effectiveness of robotic techniques in managing this rare presentation and emphasises the importance of timely diagnosis and intervention.

Keywords: Gastrointestinal surgery; General surgery.