Laparoscopic repair of an incarcerated bochdalek hernia in an elderly man

Toydemir, Toygar; Akıncı, Hakan; Tekinel, Mehmet; Süleyman, Erdoğan; Acunaş, Bülent; Yerdel, Mehmet Ali

doi:10.6061/clinics/2012(02)20

Cited by 15 publications

(25 citation statements)

References 16 publications

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“…It provides detailed information regarding the herniated viscera and the diaphragmatic defect [9] . The presence of a soft tissue contour in the chest CT, in addition to opaque, filled, dilated bowel segments above the diaphragm, establishes definitive diagnosis [4] .…”

Section: Discussionmentioning

confidence: 96%

“…Laparoscopic repair can be performed with a low complication rate (7%) and short hospital stay (4 days) [7] . Regardless of the type of surgical procedure, Suturing the defect is likely important for the restoration of the anatomy between the thoracic and abdominal cavities [4] . Many surgeons prefer a prosthetic graft because of the continuing stress on the diaphragm that results from respiratory movements and cardiac motions.…”

Section: Discussionmentioning

confidence: 99%

“…Many surgeons prefer a prosthetic graft because of the continuing stress on the diaphragm that results from respiratory movements and cardiac motions. Nevertheless, a tensionless type of repair has been validated as an option for BHs, which is similar to the type of repair used for all other hernia repairs [4] . Many types of meshes are available for use in these types of repairs.…”

Section: Discussionmentioning

confidence: 99%

“…Many types of meshes are available for use in these types of repairs. Although polypropylene mesh has the benefit of support and excellent tissue growth, erosion of the mesh into the gastrointestinal organs represents a theoretical risk [4] . The decreased tendency for adhesion formation of polytetrafluoroethylene and other dual prostheses makes them more desirable [4] .…”

Section: Discussionmentioning

confidence: 99%

“…Management of a BH includes reducing the abdominal contents and repairing the defect through laparatomy or thoracotomy [2] . Surgical repair has been done by laparatomy, traditionally, however since laparoscopy was used, laparoscopic treatment was started to be used more often due to less hospital stay and early work starting time [4] . Both laparoscopic and thoracoscopic repairs of BH have been reported [2] .…”

Section: Introductionmentioning

confidence: 99%

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Bochdalek hernia: A rare case report of adult age

Yağmur

Yiğit

Babur

et al. 2016

Annals of Medicine &Amp; Surgery

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IntroductionBochdalek hernia is the most common type of congenital diaphragmatic hernia and constitutes 85% of cases. Bochdalek hernia (BH) in adults is extremely rare. We present a BH case in an adult patient and discuss the literature.Presentation22-year-old female patient with abdominal pain, occasional cramps, dysphagic problems, constipation, shortness of breath and choking for about 2 years applied to our clinic.DiagnosisA defect about 5 cm in the left hemidiaphragm posterior area and herniation of intra-abdominal fat plan in the left hemithorax was seen in intravenous and oral whole abdominal CT.TreatmentPatient was operated laparoscopically. Transverse colon and a large portion of the omentum entering into hemidiaphragm were pulled in to intraperitoneal area carefully. Approximately 10 × 8 cm intraabdominal mesh was fixed to the defect area with the help of laparoscopic tacker.ConclusionAdult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bochdalek hernia: A rare case report of adult age

Yağmur

Yiğit

Babur

et al. 2016

Annals of Medicine &Amp; Surgery

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Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature

et al. 2020

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Introduction Complicated diaphragmatic hernia (DH) can be congenital or acquired. Congenital diaphragmatic hernias (CDH) are rare and often can be asymptomatic until adulthood. Traumatic diaphragmatic hernia (TDH) is a complication that occurs in about 1–5% of victims of road accidents and in 10–15% of penetrating traumas of the lower chest. CDH and TDH are potentially life‐threatening conditions, and the management in emergency setting still debated. This study aims to evaluate the surgical treatment options in emergency setting. Methods A bibliographic research reporting the item “emergency surgery” linked with “traumatic diaphragmatic rupture” and “congenital diaphragmatic hernia” was performed. Several parameters were recorded including sex, age, etiology, diagnosis, treatment, site and herniated organs. Results The research included 146 articles, and 1542 patients were analyzed. Most of the complicated diaphragmatic hernias occurred for a diaphragmatic defect due to trauma, only 7.2% occurred for a congenital diaphragmatic defect. The main diagnostic method used was chest X‐ray and CT scan. Laparotomic approach still remains predominant compared to the minimally invasive approach. Conclusion Surgery is the treatment of choice and is strongly influenced by the preoperative setting, performed mainly with X‐ray and CT scan. Minimally invasive approach is safe and feasible but is highly dependent on the surgeon's expertise, especially in emergency setting.

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