Case report of traumatic intrapericardial diaphragmatic hernia: Laparoscopic composite mesh repair and literature review

Al-Hamid, Zaid

doi:10.1016/j.ijscr.2020.04.077

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…Imaging is key to the diagnosis, and CT of the chest is particularly helpful in this regard [ 11 , 14 , 15 ]. The treatment for IPDH is typically urgent surgical repair with mesh, either by a laparoscopic approach or by robotic technology [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

Intrapericardial Diaphragmatic Hernia Following the Convergence Procedure for Atrial Fibrillation

Baig,

Haseeb ul Rasool,

Ahmad

et al. 2024

Cureus

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This case report highlights a very rare variant of diaphragmatic hernia, namely, an intrapericardial diaphragmatic hernia, which can arise as a complication of the convergence procedure. A 77-year-old man, presenting with chronic shortness of breath and fatigue, was unexpectedly found to have herniation of the transverse colon into the pericardial cavity through a diaphragmatic-pericardial defect. The diaphragmatic defect was repaired with mesh via robotic surgery. The patient reported resolution of his symptoms at the six-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Intrapericardial Diaphragmatic Hernia Following the Convergence Procedure for Atrial Fibrillation

Baig,

Haseeb ul Rasool,

Ahmad

et al. 2024

Cureus

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“…As diaphragmatic defect edges were weak, thin and fragile (17), there was usually a large tension when suturing the diaphragm, especially the part adjacent to the central of the hiatus. Thus, mesh repair was required for these cases (18).…”

Section: Discussionmentioning

confidence: 99%

Treatment of Chronic Traumatic Diaphragmatic Hernia Based on Laparoscopic Repair: Experiences From 23 Cases

Liu

2021

Front. Surg.

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Background: We aimed to investigate the safety and effectiveness of laparoscopic repair for treating chronic traumatic diaphragmatic hernia (CTDH).Methods: In this retrospective analysis, we included 23 cases with CTDH underwent laparoscopy in our hospital between June 2015 and October 2019 was performed. The patient characteristics were recorded. We compared the diameter of hernia ring, surgery duration, intraoperative bleeding volume, means of repairing, as well as the follow-up data.Results: All the patients underwent laparoscopic diaphragmatic hernia repair, without conversion to laparotomy or thoracotomy. The operation time ranged from 60 min to 200 min (mean, 108.04 ± 42.93 min). The blood loss volume ranged from 10 to 300 ml (mean volume, 63.48 ± 71.69 ml). The postoperative hospital stayed ranged from 5 to 15 days (mean, 6.22 ± 2.11 days). The patients were followed up for 1–50 months (mean, 17.5 ± 10.90 months). No recurrence of diaphragmatic hernia was found.Conclusions: Laparoscopic repair of CTDH is featured by fast recovery, high security, and effectiveness. Reducing the hernia contents and close of the hernia ring are crucial for the surgery that is performed based on the size and location of the diaphragmatic hernia.

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“…A common and feared complication of IPDH, especially in a delayed setting, is cardiac tamponade [5]. Cardiac tamponade is the accumulation of fluid in the pericardium leading to compression of the heart.…”

Section: Case Presentationmentioning

confidence: 99%

Small Bowel Does Not Belong in the Pericardium: Case of a Traumatic Intrapericardial Diaphragmatic Hernia

Dushnov¹,

McNicholas²,

Su³

et al. 2022

Cureus

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Intrapericardial diaphragmatic hernia (IPDH) is rare and most often a sequela of blunt thoracic trauma. The trans-abdominal or thoracic repair approaches are based on the acuteness of presentation and the expectation of encountering intrapericardial adhesions. We present an acute IPDH in an 80-year-old female patient managed with a laparoscopic trans-abdominal repair. Misdiagnosis and complications from the delayed presentation can be avoided with careful attention to the initial exam, imaging, and early operative repair if the patient is a candidate for the trans-abdominal approach.

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Case report of traumatic intrapericardial diaphragmatic hernia: Laparoscopic composite mesh repair and literature review

Cited by 8 publications

References 19 publications

Intrapericardial Diaphragmatic Hernia Following the Convergence Procedure for Atrial Fibrillation

Intrapericardial Diaphragmatic Hernia Following the Convergence Procedure for Atrial Fibrillation

Treatment of Chronic Traumatic Diaphragmatic Hernia Based on Laparoscopic Repair: Experiences From 23 Cases

Small Bowel Does Not Belong in the Pericardium: Case of a Traumatic Intrapericardial Diaphragmatic Hernia

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