J Minim Invasive Surg 2018; 21(3): 130-132  
Internal Hernia through a Defect in the Broad Ligament of Uterus: Laparoscopic Management Using a Self-Anchoring Barbed Suture
Je Hyung Park, M.D., Soo-Hong Kim, M.D., Yong-Hoon Cho, M.D.
Department of Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea
Correspondence to: Soo-Hong Kim
Department of Surgery, Pusan National University Yangsan Hospital, 20 Geumo-ro, Mulgeum-eup, Yangsan 50612, Korea
Tel: +82-55-360-2124 Fax: +82-55-360-2154 E-mail: soohongnara@hanmail.net
ORCID: http://orcid.org/0000-0001-7085-5969
Received: January 17, 2018; Accepted: February 7, 2018; Published online: September 15, 2018.
© Journal of Minimally Invasive Surgery. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The occurrence of internal hernia through a defect in the broad ligament is a very rare condition, which may cause small bowel obstruction. This is a case of a 50-year-old woman who developed intestinal obstruction induced by internal hernia and who had undergone laparoscopic myomectomy 7 years prior to visiting our emergency room. Abdominopelvic computed tomography showed luminal narrowing of the ileum and dilatation of the pelvic loop of the small bowel at the left side of the uterus. We detected internal hernia through the defect in the broad ligament and managed it successfully by performing a laparoscopic procedure using a barbed suture, V-Loc (Covidien, Mansfield, MA).
Keywords: Internal hernia, Broad ligament, Small bowel obstruction, Laparoscopy, Barbed suture


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