Laparoscopic Repair of Diaphragmatic Hernias: Experience of Six Cases

Wadhwa, Atul; Surendra, Jasti B.K.; Sharma, Anil; Khullar, Rajesh; Soni, Vandana; Baijal, Manish; Chowbey, Pradeep

doi:10.1016/s1015-9584(09)60281-5

Cited by 23 publications

(36 citation statements)

References 14 publications

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“…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]. But to our knowledge, very few reports to date describe laparoscopic repair of posttraumatic herniation of the liver other than bowel loops [18].…”

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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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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“…If hernial ring edges can be drawn near each other without tension, the method of choice for repairing the defect is single interrupted sutures using non-resorbable material. Large diaphragmatic defects are closed with synthetic mesh 12,13,15,16 In our case, the size of the diaphragmatic defect (~ 5 cm) allowed successful closing without using any synthetic mesh.…”

Section: Discussionmentioning

confidence: 79%

“…The additional abdominal approach is further justifi ed by the requirement that in large Bochdalek hernias it is obligatory to verify the presence of eventual intestinal malrotation as associated anomaly. 1,12,13,17,18 After repositioning the abdominal organs into the peritoneal cavity, the diaphragmatic defect must be closed. If hernial ring edges can be drawn near each other without tension, the method of choice for repairing the defect is single interrupted sutures using non-resorbable material.…”

Section: Discussionmentioning

confidence: 99%

Adult Bochdalek hernia simulating left pleural effusion: a review and a case report

Novakov¹,

Paskalev²

2010

Folia Medica

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The authors present a rare case of congenital diaphragmatic Bochdalek hernia in an adult stimulating left pleural effusion. The diagnosis of left pleural effusion was made on the basis of conventional chest X-ray and ultrasonography. The defi nitive diagnosis of Bochdalek hernia was made by left video-assisted thoracoscopy. The patient was successfully treated operatively by conventional surgery -a combination of left thoracotomy and median laparotomy. The reported case supported the view that Bochdalek hernia in adults presents usually with atypical chronic abdominal and respiratory symptoms. Surgical treatment should best be performed, according to the authors, by competent surgeons with good command of both the thoracic and abdominal approaches to the diaphragm.

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“…A herniorrafia laparoscópica é uma técnica que vem sendo utilizada com frequência na medicina há mais de uma década (Wadhwa et al, 2005), sendo uma alternativa viável em relação aos métodos convencionais. Sua natureza minimamente invasiva, o curto tempo de hospitalização e a recuperação dos animais fazem essa modalidade diagnóstica e terapêutica se tornar interessante cada vez mais, não só para os médicos veterinários como também para os proprietários dos animais (Matyjasik et al, 2011).…”

Section: Discussionunclassified

Herniorrafia diafragmática videoassistida em gato: relato de caso

Copat

Bertoletti

Chaves

et al. 2017

Arq. Bras. Med. Vet. Zootec.

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RESUMORelata-se um caso de um felino com sinais de dificuldade respiratória havia cerca de 30 dias e emagrecimento progressivo. Ao exame radiográfico torácico e de abdômen, ficou evidenciada perda de definição da linha diafragmática, sendo compatível com hérnia diafragmática. Na laparoscopia, foi observado grande defeito diafragmático, além de estruturas herniadas. Em razão de as vísceras abdominais direcionarem-se ao tórax, dificultando a oclusão do defeito com suturas intracorpóreas, optou-se pela realização de incisão paracostal, procedendo-se à herniorrafia por celiotomia reduzida. A videolaparoscopia permitiu localizar o local herniado e promover a redução dos órgãos envolvidos com mínimo trauma operatório. Logo, mostrou-se como eficaz ferramenta diagnóstica e auxiliar no tratamento de hérnias diafragmáticas crônicas de grande dimensão em gato. Palavras-chave: felino, hérnia diafragmática, cirurgia minimamente invasiva ABSTRACT This is a case report of a cat with signs of respiratory distress for about

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Laparoscopic Repair of Diaphragmatic Hernias: Experience of Six Cases

Abstract: Adult congenital and chronic traumatic diaphragmatic hernias are amenable to laparoscopic repair. Laparoscopic repair is safe and feasible and confers all the advantages of minimal access surgery.

Cited by 23 publications

References 14 publications

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

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

Adult Bochdalek hernia simulating left pleural effusion: a review and a case report

Herniorrafia diafragmática videoassistida em gato: relato de caso

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