Fig. 3

Intraoperative laparoscopic views. a Small bowel (*) herniated through the foramen of Winslow. The bowel dilation reduced with the effect of the nasal tube before surgery. Due to adhesion between intra-omental tissue and herniated bowel, the herniated bowel was difficult to pull out from the foramen of Winslow. b The view shows the lesser sac opened by incising the lesser omentum. c The arrow shows one of the adhesions between the intra-omental tissue and herniated bowel. Duodenum, hepatoduodenal ligament, liver, and pancreas are labeled D, H, L, and P, respectively