DISCUSSION:
When a paraduodenal hernia is discovered, surgery should be performed to treat it since there is a 50% lifetime chance of incarceration, which can result in bowel obstruction and strangling (4,6). Both minimally invasive laparoscopic procedures and traditional open approaches can be used to treat patients. Reduction of the entrapped intestinal loops, with resection, if necessary in the case of nonviable segments, and repair of the defect by either widening or closing the hernia orifice to allow the hernia sac to become a part of the general peritoneal cavity constitute the standard surgical approach for posterior superior hernias (2, 7-10). Usually, it is easy to diminish left PDH. Sutures are adequate to close the hernia opening. If reduction proves problematic, the hernia aperture is widened by dividing the IMV or making an incision along the descending mesocolon’s avascular plane (2). Hernia sac excision is usually not required. A mesh can be used to remedy recurrent situations (3). In this instance, there was no need for IMV scarification or hernia sac expansion because the left PDH was readily minimized. It was sufficient to close the hernia orifice in its primary form.