The Role of Laparoscopy in the Diagnosis and the Treatment of Missed Diaphragmatic Hernia after Penetrating Trauma

Abstract

We recommend the use of laparoscopy in left chronic TDH repair, performing a direct suture of the diaphragm when possible.

Diaphragmatic injuries after blunt trauma: are they still a challenge?

“…Some authors recommend the use of minimally invasive methods in left chronic diaphragmatic lesions and in hemodynamically stable patients with penetrating left thoracoabdominal trauma [41,42]. Finally, some reports support the role of video-assisted thoracoscopic surgery for stable patients when intraabdominal and controlateral diaphragmatic injuries are excluded [43].…”

“…In some cases of high hemodynamic instability related to seriously bleeding injuries, it is suggested to even postpone surgical diaphragmatic repair; actually, diaphragmatic injury is not to be considered a true emergency 'sensu stricto' if there are not associated complications such as bleeding injuries in its context, ischemic changes of the herniated abdominal viscera or significant compressive lung atelectasis [12,22,[41][42][43][44].…”

Laparoscopic Repair of a Posttraumatic Left-Sided Diaphragmatic Hernia Complicated by Strangulation and Colon Obstruction

“…6,8 Although the laparoscopic treatment of hiatal hernia is a standard operation in daily surgical practice, the use of laparoscopic techniques for PDH is still rare. 2,4–6,9 However, the possibility of laparoscopic surgery for complicated PDH remains disputable. 3,4 …”

“…2,4–6,9 However, the possibility of laparoscopic surgery for complicated PDH remains disputable. 3,4 …”

“…1–3 Only a few studies have reported the use of the laparoscopic technique for PDH. 2,4–6 However, this procedure has not been described for the treatment of PDH complicated by strangulation and bowel obstruction. Herein, we report on 2 cases of successful laparoscopic repair of posttraumatic left-side diaphragmatic hernia complicated by strangulation and colon obstruction.…”