Surgical management of delayed-presentation diaphragm hernia: A single-institution experience

Right side traumatic diaphragmatic hernia presented after 20 years with shortness of breath; a rare case presentation, and literature review

“…Postoperative pulmonary complications including atelectasis are common following surgery for traumatic diaphragmatic hernia. Other complications include surgical infection, bleeding, respiratory failure, ileus, gastroesophageal reflux, chronic pain, hernia recurrence, and cardiac injury [ 13 , 14 ].…”

Thoracoscopic repair of iatrogenic diaphragmatic hernia following multiple abdominal surgeries: a case report

“…Positive intrathoracic pressure with artificial pneumothorax makes it easier to reposition the hernia’s contents into the intraperitoneal space. Mesh reinforcement is often applied for DH repair in both thoracoscopic and laparoscopic approaches [ 7 ]. The ePTFE mesh is often used for DH repair; however, the type of mesh is of no particular importance [ 14 ].…”

“…Various methods for repair of IDH, e.g. transabdominal or transthoracic, with or without mesh) have been reported; however, the optimal surgical approach has not been established [ 7 , 8 ]. Here we report a case of thoracoscopic repair for IDH after multiple abdominal surgeries, using expanded polytetrafluoroethylene (ePTFE) mesh.…”

Commentary: Is the Data Strong Enough to Prorocolize the Approach in Diaphragmatic Hernia Repair? Aspects of Technique and the Sample Size of a Longitudinal Single-Center Study

“…As mentioned in the article, in cases with longer duration, “tension-free” repair using mesh is recommended. To prevent injury to the lung and to protect the abdominal organs, the thoracic approach allowed better visualization of the surgical field than the abdominal approach, ensuring safe dissection in cases with a longer hernia duration [ 3 ]. Open surgery is safe and facilitates the effective use of various instruments, allowing the diaphragm to lie at the lowest level.…”