Is video-assisted thoracoscopic diaphragmatic plication a widespread technique for diaphragmatic hernia in adults?: Review of the literature and results of a national survey

Rombolá, Carlos A.; Crespo, Marta Genovés; López, Pedro Juan Tárraga; Jiménez, María Dolores García; Martínez, Antonio Francisco Honguero; Atance, Pablo León; Ortega, Claudia R. Rodríguez; Ramírez, Ana Triviño; Montes, J. A. Rodríguez

doi:10.1016/j.cireng.2013.12.025

Cited by 4 publications

(8 citation statements)

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“…One recent article supports the impression that the majority of plications are still done by thoracotomy. 16 Chief among the issues that may dissuade adoption of VATS DP is that the generally taught open plication technique often relies on placing multiple, interrupted buttressed sutures to minimize the chances that 1 suture pulling through would lead to loss of the entire plication. Performing the procedure by this technique via a VATS approach requires tying multiple knots endoscopically.…”

mentioning

confidence: 99%

Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective

Demos

Berry

Backhus

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

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mentioning

confidence: 99%

Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective

Demos

Berry

Backhus

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

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“…14 Los síntomas generalmente son vagos y representan los efectos de la compresión local del tumor. 15 Pacientes generalmente son asintomáticos, pero los tumores grandes pueden causar dolor torácico, disnea, tos u otros síntomas de compresión. 9 Radiológicamente, los teratomas se caracterizan por masas mediastínicas anteriores, redondeadas, lobuladas, bien definidas, que, en general, se insinúan hacia uno de los lados de la línea media.…”

Section: Timomaunclassified

“…Debe adaptarse tanto a la patología como a la experiencia del cirujano torácico, buscando el equilibrio entre agresividad y seguridad de la técnica. [10][11][12][13][14][15] La vía más común de acceso al tórax para la mayor parte de intervenciones sobre los pulmones, esófago y aorta torácica ha sido tradicionalmente la toracotomía posterolateral. Su predicamento hasta ahora se debe a que es la incisión que mejor control ofrece sobre todos los elementos del hilio pulmonar, además de facilitar una perspectiva amplia de toda la cavidad torácica interesada.…”

Section: Sarcoidosisunclassified

“…Lleva más tiempo abrir y cerrar esta incisión que las mínimamente invasivas. 8,[13][14][15] La vía transesternal por línea media permite múltiples abordajes torácicos. En cirugía torácica es utilizada para: timectomía, resección de tumores de mediastino anterior y metastasectomía pulmonar bilateral principalmente.…”

Section: Sarcoidosisunclassified

“…Sin embargo, cada vez tiene más importancia el papel de la VATS para la resección de tejido tímico en la miastenia gravis y en los timomas no invasivos de pequeño tamaño. [12][13][14][15] La mediastinoscopia consiste en colocar el mediastinoscopio a nivel de la fascia pretraqueal disecando el espacio pretraqueal-retrocava de forma roma, lo cual permite el acceso a los espacios ganglionares 2, 4, 7 y 10. Presenta variantes extendidas: mediastinoscopia cervical extendida (MCE) y linfadenectomía mediastínica videoasistida (VAMLA) que permiten la biopsia de los espacios 5, 6 e hiliares izquierdos.…”

Section: Sarcoidosisunclassified

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Frequency, Classification and Pathology of Mediastine Tumors

et al. 2018

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RESUMEN Introducción: Los tumores primarios de mediastino son una entidad poco frecuente, que representa sólo el 3% de la patología torácica. Pueden manifestarse por una variedad de síntomas, según sea su efecto sobre los órganos y estructuras adyacentes de acuerdo a su localización. El objetivo de este trabajo es establecer la frecuencia y características de este tipo de tumores en el Hospital San Jorge. Materiales y Métodos: Estudio observacional, descriptivo, retrospectivo de corte transversal. Fueron incluidos todos los pacientes intervenidos quirúrgicamente en el Servicio de Cirugía Torácica en el periodo comprendido entre julio de 2013 a junio de 2018. Resultados: De los 476 pacientes intervenidos en el Servicio, 45 pacientes padecían patologías tumorales de mediastino (frecuencia de 9,4%); siendo 30 pacientes mujeres (67%), entre 51 y 60 años. La localización topográfica más frecuente corresponde al mediastino anterior (83%). Los tipos histológicos más frecuentes fueron los linfomas de Hodgkin con un 31 %. Conclusiones: La frecuencia de tumores de mediastino en nuestra serie corresponde al 9,4%. La localización más frecuente fue en el mediastino anterior, se halló un mayor número de casos en el sexo femenino. El tipo histológico más frecuente es el linfoma de Hodgkin, la vía de abordaje más utilizada fue la toracotomía. Palabras clave: Tumores mediastinales, Topografía de tumores mediastinales, Histología de tumores mediastinales, Linfoma, Tumor de células germinales. SUMMaRy Introduction: Primary mediastinal tumors are a rare entity, representing only 3% of the thoracic pathology. They can be manifested by a variety of symptoms, depending on their effect on adjacent organs and structures according to their location. The objective of this work is to establish the frequency and characteristics of this type of tumors in the San Jorge Hospital. Materials and Methods: Observational, descriptive, retrospective cross-sectional study. All the patients who underwent surgery in the Thoracic Surgery Service were included in the period from July 2013 to June 2018. Results: Of the 476 patients operated on in the Service, 45 patients Frecuencia, clasiFicación y patología de los tumores de mediastino Frequency, classiFication and pathology oF mediastine tumors

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Follow-up of asymptomatic adult diaphragmatic hernia: should patients with this condition undergo immediate operation? A report of two cases

et al. 2016

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BackgroundAsymptomatic diaphragmatic hernia is generally thought to be rare among adults. We present two different types of asymptomatic diaphragmatic hernia diagnosed with computed tomography (CT) and discuss treatment strategies.Case presentationCase 1: A 37-year-old woman was diagnosed with catamenial pneumothorax in the right diaphragm. Partial resection of the diaphragm and lung was performed using a linear stapler. She was asymptomatic after the operation and gave birth 2 years later. After delivery, she experienced recurrent pneumothorax, and CT revealed a right diaphragmatic defect with herniation of a part of the liver into the thorax. An iatrogenic diaphragmatic hernia was diagnosed. There has been no change in the size of the hernia and no symptoms due to the diaphragmatic hernia for more than 3 years after it was diagnosed.Case 2: A 75-year-old woman was previously diagnosed with rectal cancer and had undergone surgery after chemoradiotherapy. One year after surgery, herniation of a 3 × 1.3-cm section of retroperitoneal fat tissue into the left thoracic cavity was observed incidentally at a follow-up CT and was diagnosed as an adult Bochdalek hernia (BH). We reviewed the patient’s past CT findings and confirmed that the same finding had been present since the first scan. A wait-and-see approach was chosen because there had been no change in the size of hernia, there were no symptoms, the patient was elderly, and there was a high risk of recurrence of the rectal cancer. She has had no symptoms to date, and careful follow-up has been performed.ConclusionsThere are few reports of asymptomatic adult diaphragmatic hernia. Although symptomatic diaphragmatic hernia is generally treated surgically, there are cases in which a wait-and-see approach has been applied, such as our asymptomatic cases.

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Is video-assisted thoracoscopic diaphragmatic plication a widespread technique for diaphragmatic hernia in adults?: Review of the literature and results of a national survey

Cited by 4 publications

References 89 publications

Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective

Video-assisted thoracoscopic diaphragm plication using a running suture technique is durable and effective

Frequency, Classification and Pathology of Mediastine Tumors

Follow-up of asymptomatic adult diaphragmatic hernia: should patients with this condition undergo immediate operation? A report of two cases

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