Laparoscopic repair of Bochdalek hernia in an adult

Rice, Gregory D.; OBoyle, Colm; Watson, David I.; Devitt, Peter G.

doi:10.1046/j.1440-1622.2001.02151.x

Cited by 20 publications

(16 citation statements)

References 13 publications

(57 reference statements)

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“…When the defect is small it can be simply sutured closed, but when it is large (>10 cm square) it will need a prosthetic reinforcement [9, 30]. Sufficient evidence favoring any particular type of mesh is lacking [31].…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

Saroj

Kumar

Afaque

et al. 2016

Minimally Invasive Surgery

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Background, Aims, and Objectives. Congenital diaphragmatic hernia typically presents in childhood but in adults is extremely rare entity. Surgery is indicated for symptomatic and asymptomatic patients who are fit for surgery. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy. With the advent of minimal access techniques, the open surgical repair for this hernia has decreased and results are comparable with early recovery and less hospital stay. The aim of this study is to establish that laparoscopic repair of congenital diaphragmatic hernia is a safe and effective modality of surgical treatment. Materials and Methods. A retrospective study of laparoscopic diaphragmatic hernia repair done during May 2011 to Oct 2014. Total n = 13 (M/F: 11/2) cases of confirmed diaphragmatic hernia on CT scan, 4 cases Bochdalek hernia (BH), 8 cases of left eventration of the diaphragm (ED), and one case of right-sided eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed with nonabsorbable tackers. All patients had good postoperative recovery and went home early with normal follow-up and were followed up for 2 years. Conclusion. The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands.

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Section: Discussionmentioning

confidence: 99%

“…Surgery is indicated for symptomatic [6] as well as asymptomatic patients who are fit for surgery [4, 7, 9]. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy [10, 11].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

Saroj

Kumar

Afaque

et al. 2016

Minimally Invasive Surgery

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“…Laparoscopic repair of congenital diaphragmatic hernias in the adult was first described by Campos and Sipes in 1991 [6], and since then, several cases have been published [7][8][9]. In parallel, cases emerged after the report of Meyer et al [10] in 2000 on the use of a minimally invasive approach for posttraumatic cases, either immediately or some time after the trauma [11][12][13][14][15][16][17].…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have suggested that defects larger than 20 cm 2 in cases of congenital diaphragmatic hernia require a prosthesis [9]. However, reports of fistulas and migration of the prosthesis used, for example, in the repair of large hiatal hernias have been published.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Fiscon¹,

Portale²,

Migliorini³

et al. 2011

Surg Endosc

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Right diaphragmatic hernia after abdominal trauma is a rare injury. Most patients can be asymptomatic, and the diagnosis may be delayed for several years. The treatment of choice involves surgical repair via laparotomy. The authors treated a young patient with transdiaphragmatic herniation of the right hepatic lobe and delayed diagnosis using a laparoscopic approach and accomplished a successful complete repair. The 6-month radiologic follow-up assessment confirmed good results.

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“…Some authors have reported the use of prosthetic material to bolster the repair, whereas other authors describe simple suturing of the defect. However, it is generally agreed that defects larger than 20-30 cm 2 need a prosthesis [20,21]. Because the traumatic (chronic) and Morgagni hernias usually have smaller defects, suturing alone will suffice [22,23].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

et al. 2009

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The controversies involved are the surgical approach, management of the hernial sac, whether or not to suture the defect, and choice of prosthesis. Although laparoscopic and thoracoscopic approaches are comparable, the laparoscopic approach seems to have certain distinct advantages. The authors prefer not to excise the hernial sac and favor suturing the defects before mesh reinforcement. Regarding the type of mesh used, composite, expanded polytetrafluoroethylene (ePTFE), or polypropylene are the available options. Laparoscopic repair is feasible, effective, and reliable. It could become the gold standard in the near future.

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Laparoscopic repair of Bochdalek hernia in an adult

Cited by 20 publications

References 13 publications

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

Laparoscopic repair of intrathoracic liver herniation after traumatic rupture of the diaphragm

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

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