Skip to main content
Journal cover image

Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy.

Publication ,  Journal Article
Moris, D; Tsilimigras, DI; Yerokun, B; Seymour, KA; Guerron, AD; Fong, PA; Spartalis, E; Sudan, R
Published in: J Gastrointest Surg
October 2019

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.

Duke Scholars

Published In

J Gastrointest Surg

DOI

EISSN

1873-4626

Publication Date

October 2019

Volume

23

Issue

10

Start / End Page

2093 / 2099

Location

Netherlands

Related Subject Headings

  • Tomography, X-Ray Computed
  • Surgery
  • Risk Factors
  • Peritoneal Cavity
  • Omentum
  • Laparoscopy
  • Humans
  • Herniorrhaphy
  • Hernia
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
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. J Gastrointest Surg, 23(10), 2093–2099. https://doi.org/10.1007/s11605-019-04353-3
Moris, Demetrios, Diamantis I. Tsilimigras, Babatunde Yerokun, Keri A. Seymour, Alfredo D. Guerron, Philip A. Fong, Eleftherios Spartalis, and Ranjan Sudan. “Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy.J Gastrointest Surg 23, no. 10 (October 2019): 2093–99. https://doi.org/10.1007/s11605-019-04353-3.
Moris D, Tsilimigras DI, Yerokun B, Seymour KA, Guerron AD, Fong PA, et al. Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. J Gastrointest Surg. 2019 Oct;23(10):2093–9.
Moris, Demetrios, et al. “Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy.J Gastrointest Surg, vol. 23, no. 10, Oct. 2019, pp. 2093–99. Pubmed, doi:10.1007/s11605-019-04353-3.
Moris D, Tsilimigras DI, Yerokun B, Seymour KA, Guerron AD, Fong PA, Spartalis E, Sudan R. Foramen of Winslow Hernia: a Review of the Literature Highlighting the Role of Laparoscopy. J Gastrointest Surg. 2019 Oct;23(10):2093–2099.
Journal cover image

Published In

J Gastrointest Surg

DOI

EISSN

1873-4626

Publication Date

October 2019

Volume

23

Issue

10

Start / End Page

2093 / 2099

Location

Netherlands

Related Subject Headings

  • Tomography, X-Ray Computed
  • Surgery
  • Risk Factors
  • Peritoneal Cavity
  • Omentum
  • Laparoscopy
  • Humans
  • Herniorrhaphy
  • Hernia
  • 3202 Clinical sciences