Incarcerated diaphragmatic hernia after right hepatectomy: an autopsy case with a review of 45 previous cases

Lee, Sang Won; Lee, Soong Deok; Kim, Moon Young

doi:10.1007/s00414-021-02557-4

Cited by 6 publications

(9 citation statements)

References 19 publications

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“…This indicates that DH can cause severe complications. Fatal consequences can occur particularly due to abdominal organ incarceration and perforation 13 . In our study, one patient developed cardiogenic shock due to the size of the herniated area when applied to the emergency room and the patient passed before taken to the surgery.…”

Section: Discussionmentioning

confidence: 66%

“…Fatal consequences can occur particularly due to abdominal organ incarceration and perforation. 13 In our study, one patient developed cardiogenic shock due to the size of the herniated area when applied to the emergency room and the patient passed before taken to the surgery. Thus, a monitoring protocol with appropriate imaging methods should be developed for patients undergoing liver resection.…”

Section: Discussionmentioning

confidence: 68%

“…Lee et al, the incidence of iatrogenic diaphragmatic hernia ranged between 0.6% and 2.7% depending on the type of hepatectomy. 13 Several factors were suggested in the aetiology of DH development following liver surgery. Diaphragm resection, tumour size, and extended parenchymal resections were shown as risk factors in the first surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Post‐surgical iatrogenic injury is the second most common cause of acquired diaphragmatic hernia. Lee et al ., the incidence of iatrogenic diaphragmatic hernia ranged between 0.6% and 2.7% depending on the type of hepatectomy 13 …”

Section: Discussionmentioning

confidence: 99%

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Development of diaphragmatic hernia following hepatectomy

Kara

Korkut

Aksungur

et al. 2022

ANZ Journal of Surgery

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Background The majority of the diaphragmatic hernias developing on the right side are hernias developing after right hepatectomy. We aimed to present the clinical presentation at the time of admission, surgical treatment, and postoperative course of patients that developed DH following a major liver resection in our center. Patients and Methods Liver surgeries performed in Ataturk University Organ Transplant Center and Ataturk University Research Hospital General surgery Hepatopancreatobiliary ward between 2012 and 2021 were analysed retrospectively. Demographic information, admission types (emergency or elective), admission clinics, the process of diaphragmatic hernia formation following hepatectomy, imaging methods used for diagnosis, and surgical methods performed were recorded for the patients with diaphragmatic hernia. Qualitative values were tabulated and their percentages were calculated. Results Six hundred and sixty patients who underwent major liver surgery in our center between 2012 and 2021 were analysed. It was found that diaphragmatic hernia developed in 9 (1.4%) of those patients. The incidence of diaphragmatic hernia after donor hepatectomy was 3.04% in our study. The mean time from the first surgery until the DH diagnosis was 47.33 ± 38.16 months. 1 (11.1%) patient had small intestine perforation and 1 patient had both small intestine and colon perforation. One patient died before to the surgery. Conclusion DH following liver resection can cause fatal complications and it should be intervened when diagnosed. Although it is rare, centers particularly focusing on hepatobiliary surgery should determine a follow‐up protocol to detect DH that develops after major liver resections.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Development of diaphragmatic hernia following hepatectomy

Kara

Korkut

Aksungur

et al. 2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…In a recent study conducted on incarcerated diaphragmatic hernia after right hepatectomy, published by Won Lee and al. in 2021 [ 9 ], risk factors for developing iatrogenic diaphragm rapture have been identified, including the volume of the resected liver, thermal injury, direct trauma, the patient's nutritional status, developing ascites in the postoperative course, a high-pressure gradient through the diaphragm, and the quality of the diaphragm tissue. Other reports suggested that high-energy instruments, such as the ultrasonic activated scissor, are responsible for diaphragm injuries [ 10 ].…”

Section: Discussionmentioning

confidence: 99%