Comment to: Technical description of laparoscopic Morgagni hernia repair with primary closure and onlay composite mesh placement. Ryan JM, et al.

Li, J.; Zhang, W.

doi:10.1007/s10029-018-1778-0

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…However, mesh reinforcement in the hiatal area should be used with great caution to avoid mesh erosion and other serious complications,0024 especially the traumatic fixation should not be used in the diaphragm fixation. Recently, 23 cases of severe cardiac injuries and subsequent cardiac tamponades have been reported due to the use of tack fixation in diaphragm and 48% of them finally died 0026…”

Section: Discussionmentioning

confidence: 99%

“…Recently, 23 cases of severe cardiac injuries and subsequent cardiac tamponades have been reported due to the use of tack fixation in diaphragm and 48% of them finally died. 25,26 Fundoplication Another area of controversy in parahiatal repair is the necessity of performing anti-reflux procedure. The parahiatal defect is located between the fibres of the left crus, and there are some fibres of the left crus separating the defect and the hiatus; therefore, the phrenooesophageal membrane is usually not affected, which leads to the main difference in the treatment of parahiatal hernia and paraoesophageal hernias, and an anti-reflux procedure is not necessary unless there is objective evidence of reflux.…”

Section: Mesh Placement In Parahiatal Hernia Repairmentioning

confidence: 99%

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Another type of diaphragmatic hernia to remember: parahiatal hernia

Guo

Shao

et al. 2020

ANZ Journal of Surgery

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Background: Parahiatal hernia is a less common form of diaphragmatic hernia, with the defect lateral to the crus and oesophageal hiatus, and the unfamiliarity of this disease would cause confusion to general surgeons. In the present study, the literature on parahiatal hernia were reviewed, the clinical profile of this disease, as well as our own experience is presented and analysed. Methods: In the present study, a thorough identification of all published reports on parahiatal hernias was made, together with our own cases, the available data were summarized, analysed and discussed. Results: A total of 27 cases of parahiatal hernias were identified since 1987. Among them, 19 cases were primary parahiatal hernias, and eight cases were secondary or acquired parahiatal hernias. None of the 27 cases were pre-operatively diagnosed, and the majority of them were pre-operatively diagnosed as paraoesophageal hernias. Detailed treatment data were available in 26 of the 27 cases. Three patients received open surgery, and 23 patients were treated with laparoscopic procedures. Suture repair was used in 12 cases, and 14 cases were repaired with mesh reinforcement. In addition, two cases underwent partial gastrectomy, stomach suture was performed in another two cases. Conclusion: Patients with parahiatal hernia have a high risk of developing hernia incarceration or gastric vovulus. Laparoscopic treatment of parahiatal hernia is feasible and safe in the majority cases. Surgeons should be aware of this disease when performing paraoesophageal hernia repair, as parahiatal hernias may occur with or without previous diaphragmatic surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Mesh Placement In Parahiatal Hernia Repairmentioning

confidence: 99%

Another type of diaphragmatic hernia to remember: parahiatal hernia

Guo

Shao

et al. 2020

ANZ Journal of Surgery

Self Cite

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Comment on: “Surgical technique in the laparoscopic repair of Morgagni hernia in adults. How do we do it?”

2022

Hernia

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Pericardial tamponade after laparoscopic repair of a giant diaphragmatic hernia

Dębski,

Sardar,

Vickery

et al. 2024

BMJ Case Rep

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Laparoscopic intraperitoneal onlay mesh repair is favoured for diaphragmatic hernias due to better outcomes. However, fixation devices pose risks, including cardiac tamponade. A man underwent laparoscopic repair for a large diaphragmatic hernia. One week later, he presented with chest discomfort which was initially attributed to postoperative pain. Subsequently, patient represented with worsening of chest pain and tachycardia. CT requested to rule out pulmonary embolism revealed a large pericardial effusion. Urgent drainage via apical approach resolved tamponade. The case highlights the challenges in managing pericardial effusions post-laparoscopy in the presence of diaphragmatic mesh and stresses multidisciplinary collaboration. Literature review highlights risks associated with fixation devices. Suggestions include limiting their use near vital structures. Key learning point of this case report is to raise awareness of cardiac tamponade following diaphragmatic hernia repair. Limited evidence necessitates cautious use of fixation devices, emphasising patient safety.

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Comment to: Technical description of laparoscopic Morgagni hernia repair with primary closure and onlay composite mesh placement. Ryan JM, et al.

Cited by 3 publications

References 3 publications

Another type of diaphragmatic hernia to remember: parahiatal hernia

Another type of diaphragmatic hernia to remember: parahiatal hernia

Comment on: “Surgical technique in the laparoscopic repair of Morgagni hernia in adults. How do we do it?”

Pericardial tamponade after laparoscopic repair of a giant diaphragmatic hernia

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