Laparoscopic extracorporeal repair without a mesh of parasternal diaphragmatic hernia in an elderly woman

Abstract

Rationale:The case of parasternal diaphragmatic hernia is relatively rare in adults. The best way for the treatment of diaphragmatic hernia is to receive operation, yet which surgical method is the best remains unclear.Patient concerns:An elderly woman in the hospital was complaining about upper abdominal pain that was complicated by the parasternal diaphragmatic hernia. Such state was found accidentally in a car accident and diagnosed by a computed tomography (CT) scan.Diagnosis:Parasternal diaphragmatic hernia.Interventions:Laparoscopic surgery was performed. The hernial component was easily drawn back into the abdominal cavity, and hernia sac was resected. Closure hernia sac underwent full-thickness U-shaped transabdominal wall sutures with 3-0 Prolene (ETHICON) after straightening the needle without a mesh.Outcomes:The patient recovered quickly without postoperative complication. The hospital stay was 2 days. There was no recurrence and symptoms at a 6-month follow-up.Lessons:Laparoscopic extracorporeal repair without using a mesh is a safe, quick, and effective approach. It seems to be an effective treatment of the parasternal diaphragmatic hernia, in particular for elderly patients.

Urgent laparoscopic mesh repair of a giant incarcerated Morgagni hernia – a video vignette

“…Morgagni hernia is an infrequent, congenital, retrosternal diaphragmatic defect. Surgical repair can be performed using a laparoscopic or open approach . We present a case in which a laparoscopic approach was used to implant an intra‐abdominal mesh to repair a giant Morgagni hernia.…”