Internal Hernia

A protrusion of an internal abdominal organ through a hole in an anatomical structure such as a muscle or a membrane. For instance, in paraduodenal hernia the SMALL INTESTINE herniates through an opening in the MESENTERIES. It includes intra-abdominal and diaphragmatic hernias. In abdominal hernia a protrusion occurs through a weak spot in the muscle of the ABDOMINAL WALL.

Also Known As:

Abdominal Hernia, Intra; Broad Ligament Hernias; Hernia Foramen, Winslow; Hernia, Broad Ligament; Hernia, Internal; Hernia, Intersigmoid; Hernia, Intra Abdominal; Hernia, Intramesenteric; Hernia, Lesser Sac; Hernia, Paracaecal; Hernia, Pelvic Internal; Hernia, Pericaecal; Hernia, Pericecal; Hernia, Retrocecal; Hernia, Sigmoid Mesocolon; Hernia, Supravesical; Hernia, Transmesenteric; Hernia, Transmesosigmoid; Hernia, Transomental; Herniation, Paracecal; Herniation, Pericaecal; Internal Hernia, Pelvic; Internal Hernias; Internal Herniation, Pericaecal; Intersigmoid Hernias; Intra Abdominal Hernias; Intra-abdominal Hernias; Intramesenteric Hernias; Lesser Sac Hernias; Ligament Hernia, Broad; Ligament Hernias, Broad; Paracaecal Hernias; Paracecal Herniations; Pelvic Internal Hernias; Pericaecal Hernias; Pericaecal Herniations; Pericaecal Internal Herniations; Pericecal Hernias; Retrocecal Hernias; Sigmoid Mesocolon Hernias; Supravesical Hernias; Transmesenteric Hernias; Transmesosigmoid Hernias; Transomental Hernias; Winslow Hernia Foramen; Broad Ligament Hernia; Foramen of Winslow Hernia; Intersigmoid Hernia; Intra Abdominal Hernia; Intra-abdominal Hernia; Intramesenteric Hernia; Lesser Sac Hernia; Paracaecal Hernia; Paracecal Herniation; Pelvic Internal Hernia; Pericaecal Hernia; Pericaecal Herniation; Pericaecal Internal Herniation; Pericecal Hernia; Retrocecal Hernia; Sigmoid Mesocolon Hernia; Supravesical Hernia; Transmesenteric Hernia; Transmesosigmoid Hernia; Transomental Hernia

Networked: 499 relevant articles (8 outcomes, 20 trials/studies)

Relationship Network

Disease Context: Research Results

Signs and Symptoms Pathological Conditions
- Anatomical Pathological Conditions
  - Hernia: 7582
    - Internal Hernia: 499
      - Diaphragmatic Hernia: 741
      - Paraduodenal Hernia: 40

Related Diseases

1.	Anastomotic Leak
2.	Morbid Obesity
3.	Stomach Neoplasms (Stomach Cancer)
4.	Abdominal Pain (Pain, Abdominal)
5.	Hernia (Hernias)

Experts

1.	Facchiano, Enrico: 6 articles (10/2020 - 10/2006)
2.	Iannelli, Antonio: 6 articles (01/2019 - 10/2006)
3.	Ahmed, Ahmed R: 6 articles (03/2012 - 09/2006)
4.	O'Malley, William: 6 articles (03/2012 - 09/2006)
5.	Delko, Tarik: 4 articles (01/2022 - 09/2013)
6.	Gugenheim, Jean: 4 articles (10/2019 - 10/2006)
7.	Clements, Ronald H: 4 articles (02/2014 - 03/2007)
8.	Boss, Thad: 4 articles (11/2009 - 12/2007)
9.	Johnson, Joseph: 4 articles (11/2009 - 12/2007)
10.	Rickards, Gretchen: 4 articles (11/2009 - 12/2007)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Internal Hernia:

1.	Fibrin Tissue Adhesive (Fibrin Sealant)IBA 02/01/2006 - "The preliminary results suggest that Tissucol application has no adverse effects, is not time-consuming, and may be effective in preventing leaks and internal hernias in morbidly obese patients undergoing LRYGBP." 01/01/2017 - "Prevention of internal hernias and pelvic adhesions following laparoscopic left-sided colorectal resection: the role of fibrin sealant." 02/01/2006 - "Neither leaks nor internal hernias have occurred in the fibrin glue group. " 02/01/2006 - "The safety and efficacy of a fibrin glue (Tissucol) was assessed when placed around the anastomoses and over the mesenteric openings for prevention of anastomotic leaks and internal hernias after LRYGBP. " 11/01/2008 - "Published interim results have shown that fibrin sealant (Tissucol/Tisseel Baxter AG, Vienna, Austria) may be effective in preventing anastomotic leaks and internal hernias following laparoscopic Roux-en-Y gastric bypass (LRYGBP). "
2.	Saline SolutionIBA 12/01/2007 - "The aim of this study was to assess whether the introduction of technical improvements, including (1) decreasing tension on the purse-string knot when closing the internal hernia opening by injecting normal saline extraperitoneally, (2) using an airtight knot, and (3) stress-testing the airtightness of the knot by increasing intraperitoneal gas pressure, could eliminate recurrence in LIH repair in pediatric patients of all ages. "
3.	Indicators and Reagents (Reagents)IBA 01/01/2013 - "The presence of clustered loops with mesenteric swirl is a reliable indicator of transmesenteric internal hernia." 09/01/2011 - "Of numerous signs described, the mesenteric swirl sign is considered the best indicator on CT of an internal hernia following Roux-en-Y reconstruction in gastric bypass surgery. " 04/01/2009 - "Mesenteric swirl is an easily recognized CT sign, and is the best indicator of internal hernia following Roux-en-Y gastric bypass surgery. " 03/01/2007 - "Mesenteric swirl is the best indicator of internal hernia after laparoscopic Roux-en-Y gastric bypass, and even minor degrees of swirl should be considered suspicious."
4.	MicronutrientsIBA 10/01/2020 - "Although the weight loss after bariatric surgery has positive effects on pregnancy outcomes, these surgical procedures may be associated with adverse outcomes as well, for example micronutrient deficiencies, dumping syndrome, surgical complications such as internal hernias, and obstetrical complications such as small for gestational age as instance. " 12/27/2018 - " the surgery mediated weight loss has a positive effect on pregnancy outcome, the procedures might be associated with adverse outcomes as well, for example micronutrient deficiencies, iron or B12 deficiency anemia, dumping syndrome, surgical complications such as internal hernias, and small for gestational age (SGA) offspring, possibly due to maternal undernutrition. "
5.	Diatrizoate Meglumine (Gastrograffin)FDA LinkGeneric 01/01/2019 - "Contrast-enhanced computed tomography (CT) and gastrografin contract radiography through a long tube showed an internal hernia through the mesocolon to the retroperitoneal space where the resected left kidney had been located. " 01/01/2013 - "The unclear clinical picture induced to perform a TC that revealed that a small quantity of gastrografin had passed the ileo-cecal valve but there was a complete small bowel occlusion due to an internal hernia requiring a surgical treatment (thus implying a false negative picture). "
6.	Lactic Acid (Lactate)FDA LinkGeneric 01/01/2015 - "The purpose of this article is to review the clinical presentation of two patients with internal hernia, describe the clinical, biochemical and radiological findings, with emphasis on the L-lactate as an early serum marker of intestinal ischemia. "
7.	Levonorgestrel (Plan B)FDA LinkGeneric 01/06/2015 - "Asymptomatic internal hernia through a defect of broad ligament: a surprising finding in a laparoscopic surgery to recover a lost levonorgestrel-releasing intrauterine system."
8.	Biomarkers (Surrogate Marker)IBA 01/01/2015 - "The purpose of this article is to review the clinical presentation of two patients with internal hernia, describe the clinical, biochemical and radiological findings, with emphasis on the L-lactate as an early serum marker of intestinal ischemia. "
9.	VitaminsIBA 01/01/2019 - "Sustainable weight loss in a long-term follow-up is achieved by shortening the total alimentary limb length with a 2-m BPL diversion that should not be attached <200 cm from the ileocecal junction owing to higher rates of internal hernia and vitamin and mineral deficiencies."
10.	PlasticsIBA 01/01/2015 - "After intra-abdominal hernia repair was performed plastic mesh implant, delimiting it from the abdominal cavity membrane CollGARA. "

Therapies and Procedures

1.	Gastric Bypass (Roux-en-Y Gastric Bypass) 10/01/2023 - "The incorporation of Brolin's anti-obstruction stitch has historically demonstrated a significant reduction in the incidence of internal hernias following Roux-en-Y gastric bypass. " 01/01/2022 - "The aim of this study was to develop and validate a prediction score for internal hernia (IH) after Roux-en-Y gastric bypass (RYGB). " 01/01/2019 - "Internal Hernia After Laparoscopic Gastric Bypass: Effect of Closure of the Petersen Defect - Single-Center Study." 11/01/2018 - "The objective of this study was to determine whether placement of a bioabsorbable tissue matrix in soft tissue defects after gastric bypass resulted in a lower incidence of internal hernia development. " 10/01/2018 - "The purpose of this study was to evaluate the accuracy of MRI for the diagnosis of internal hernia (IH) in pregnant women who have undergone Roux-en-Y gastric bypass (RYGB). "
2.	Gastrectomy 01/01/2022 - "Mesenteric closure after laparoscopic total gastrectomy with Roux-en-Y reconstruction is effective for prevention of internal hernia: a multicenter retrospective study." 01/01/2019 - "This study investigated the clinical characteristics and proper management of internal hernia after gastrectomy. " 12/01/2017 - "The aim of this study was to clarify internal hernia (IH) characteristics after laparoscopic gastrectomy. " 01/01/2023 - "Internal hernia after an open gastrectomy: an unusual treatment approach and a systematic review of the literature." 02/01/2022 - "The true incidence of internal hernia after gastrectomy is generally underestimated. "
3.	Therapeutics 03/01/2020 - "Although less common, internal hernia is also a possible etiology, in which a delay on its therapy may lead to a not so dismal morbidity and mortality. " 06/01/2012 - "We present images obtained during the management of a strangulated transomental internal hernia; computerized tomography permitted timely preoperative diagnosis and specifically adapted surgical therapy." 09/09/1994 - "[Laparoscopic therapy for internal hernias. " 08/17/2023 - "In this study, we could demonstrate that the surgical therapy of internal hernia after gastric bypass can be significantly improved by implementing institutional and surgical standards. " 02/01/1995 - "Surgical therapy eliminates the possibility of loss of bowel from volvulus or internal hernia, which is not always evident on diagnostic radiographic examination. "
4.	Bariatric Surgery 11/01/2015 - "While surgical exploration remains the gold standard for diagnosing internal hernia (IH) after certain bariatric surgeries, decisions for operative intervention are often based on computed tomography (CT) findings. " 01/01/2020 - "Its presence should be considered in all suspicions of internal hernia occurrence even though they are commonly known to be associated with bariatric surgery, liver surgery, etc." 01/01/2019 - "Internal hernias after bariatric and metabolic surgery Abstract. " 01/01/2019 - "[Internal hernias after bariatric and metabolic surgery]." 12/01/2015 - "Using data from the Danish National Health Register, we identified 23 women who had bariatric surgery previously and who were admitted to our surgical department and operated on for suspicion of internal hernia. "
5.	Decompression 02/01/2023 - "Following a brief period of nasogastric decompression, her abdominal distension improved, allowing for a laparoscopic entry where a pericaecal hernia was noted to be the cause of her obstruction. " 01/01/2019 - "We successfully performed an emergency surgery using a laparoscopic approach for an intersigmoid hernia without sufficient decompression. " 01/01/2019 - "We encountered a patient with an intersigmoid hernia who underwent an emergency laparoscopic approach without sufficient decompression. " 01/01/2019 - "Emergency laparoscopic approach without sufficient preoperative decompression for intersigmoid hernia: A case report." 11/01/2012 - "Authors suggest endoscopic decompression of acute ALS due to adhesions or internal hernia as the first treatment, especially in high-surgical-risk patients."