Laparoscopic repair in simultaneous occurrence of recurrent chronic traumatic diaphragmatic hernia and transdiaphragmatic intercostal hernia

Yildar, Murat; Yaman, İsmail; Derıcı, Hayrullah

doi:10.1590/s0102-67202015000100024

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…1 TIH is rare and only dozens of cases have so far been reported in the literature; 2 most TIHs are caused by blunt or penetrating trauma, 1–7 but it may occur in a condition associated with a sudden increase in abdominal pressure, such as violent coughing, 8,9 and may occur after surgical intervention. 10–12 Traumatic TIH is classified as immediate or delayed, depending on time after injury. 1,2,10 Immediate TIHs can occur immediately after the initiating event whereas delayed ones may present much later after physical activity and respiratory movement has led to the enlargement of an initially small defect in the thoracic wall and diaphragm.…”

Section: Discussionmentioning

confidence: 99%

“…10–12 Traumatic TIH is classified as immediate or delayed, depending on time after injury. 1,2,10 Immediate TIHs can occur immediately after the initiating event whereas delayed ones may present much later after physical activity and respiratory movement has led to the enlargement of an initially small defect in the thoracic wall and diaphragm.…”

Section: Discussionmentioning

confidence: 99%

“…However, most of the cases reported in the literature were repaired by an open approach and only a few cases were repaired laparoscopically. 3,7,10 Laparoscopic repair of diaphragmatic and chest wall defects can be performed using primary suture or prosthetic mesh. While primary closure is recommended in small defects, repair with prosthetic mesh is advised in large defects, such as in our case.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic repair of transdiaphragmatic intercostal hernia following blunt trauma

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Background Transdiaphragmatic intercostal hernia (TIH) is a rare clinical entity that generally occurs following trauma or surgical intervention, but it may occur spontaneously Case Report An 82-year-old Korean man presented with left-sided chest pain after falling off an agricultural vehicle. Physical examination revealed a bruised painful swelling in the left lower chest wall confirmed as hernia of the transverse colon and omentum through a defect in the diaphragm into the 7th intercostal space. Laparoscopic repair with a prosthetic mesh was successful with no sign of hernia recurrence 3 years after injury. Discussion TIH is uncommon. Depending on the associated injuries they may be repaired via the chest or abdomen and with the widespread advent of minimally invasive surgery this can be achieved laparoscopically or thoracoscopically. Small defects can be closed directly, but larger defects will require mesh coverage. Care should be taken to avoid using fixation tacks close to the central tendon and are best suited to peripheral defect repairs.

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