Pneumothorax during Laparoscopic Nissen Fundoplication

Complications of laparoscopic antireflux surgery in childhood

“…There are many problems that can occur at this stage, including lesion of the posterior vagus nerve, perforation of the esophagus, pericardiac perforations, and pneumothorax [11,12,22]. In our opinion, as the number of LF performed increases, so does the range of complications that can occur (such as a possible lesion of the aorta during the dissection) [14].…”

Management of acute paraesophageal hernia

“…The process of hernia sac dissection and excision should be done meticulously to avoid bleeding, gastric or esophageal perforation, and vagal nerve injury [8,9]. Care must be taken to avoid pleural injury [10]. Different methods for hiatal defect closure have been described [8,9,11].…”

Feasibility of surgical technique and evaluation of postoperative quality of life after laparoscopic treatment of intrathoracic stomach

“…owing to the risk of damage to the parietal pleura, we routinely excise the hernial sac because, if the hernial sac is left behind, a mediastinal seroma may develop within it, and will then need to be drained [15,18,25]. -Various methods have been described for the closing of the hernial opening between the two diaphragmatic crura-an opening that is usually of some size [15].…”

“…-The occurrence of a pneumothorax after laparoscopic treatment of intrathoracic stomach does not usually require the placement of a chest drain, since carbon dioxide gas in the pleural cavity is rapidly reabsorbed, e.g. by short-term ventilation with positive end-expiratory pressure at the completion of the procedure, allowing the lung to re-expand rapidly [9,20,25]. In our study, one patient required short-term chest drainage due to a lesion of the visceral pleura.…”