Rupture of Diaphragm Following Repair of Hiatal Hernia

Strangulated diaphragmatic hernia

“…Two of these were reported by Keshishia iand Magovern (1958): in one, resection of a gangrenous stomach was carried out one week after the repair of a hiatus hernia; in the second, the blood supply of the stomach was adequate and resection was unnecessary. Coppinger (1960) also carried out a successful resection of a gangrenous stomach six and a half months after a hiatal repair. Effler (1965) suggested that incision of the diaphragm should be abandoned, but Allison (1962) stressed that this complication need not occur if a careful diaphragmatic suture is carried out, every stitch passing through pleura, fibromuscular layer, and peritoneum.…”