Laparoscopic Repair of a Congenital Diaphragmatic Hernia in an Adult

Frantzides, Constantine T.; Carlson, Mark A.; Pappas, Christine C.; Gatsoulis, N.

doi:10.1089/lap.2000.10.287

Cited by 20 publications

(11 citation statements)

References 12 publications

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“…However, it is generally agreed that defects larger than 20-30 cm 2 need a prosthesis [20,21]. Because the traumatic (chronic) and Morgagni hernias usually have smaller defects, suturing alone will suffice [22,23].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

et al. 2009

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The controversies involved are the surgical approach, management of the hernial sac, whether or not to suture the defect, and choice of prosthesis. Although laparoscopic and thoracoscopic approaches are comparable, the laparoscopic approach seems to have certain distinct advantages. The authors prefer not to excise the hernial sac and favor suturing the defects before mesh reinforcement. Regarding the type of mesh used, composite, expanded polytetrafluoroethylene (ePTFE), or polypropylene are the available options. Laparoscopic repair is feasible, effective, and reliable. It could become the gold standard in the near future.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

et al. 2009

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“…The application of minimally invasive techniques offers obvious potential advantages for both diagnosis and treatment of this rare condition. [67] There have been three reports of Bochdalek hernia presenting in adulthood repaired laparoscopically. [6] To our knowledge, this is the first report of such a defect being closed, using a single incision laparoscopic technique in an adult patient.…”

Section: Discussionmentioning

confidence: 99%

“…[67] There have been three reports of Bochdalek hernia presenting in adulthood repaired laparoscopically. [6] To our knowledge, this is the first report of such a defect being closed, using a single incision laparoscopic technique in an adult patient. This represents a technical step forward, not only since it proves the practicability of this precise procedure, but also because it signifies the next stage of progression in minimally invasive surgery.…”

Section: Discussionmentioning

confidence: 99%

Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report

2012

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Bochdalek hernia is a congenital defect of the diaphragm that usually presents in the neonatal period with life-threatening cardiorespiratory distress. It is rare for Bochdalek hernias to remain silent until adulthood. A 57-year-old woman presented with history of difficulty in swallowing, as well as retching. There was no history of abdominal or thoracic trauma. A chest x-ray showed the herniated stomach clearly. Computed tomography (CT) of the abdomen showed a herniated volvulus of the stomach, along with left posterolateral diaphragmatic hernia. The defect was repaired by a single incision laparoscopic technique. We present the first case of a posterolateral diaphragmatic hernia repaired by a reduced port laparoscopic technique in an adult, after an extensive literature search yielded no precedents. This report validates the feasibility of reduced port laparoscopic repair of Bochdalek hernia in an adult, and should be within the remit of the advanced laparoscopic surgeon.

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“…Laparoscopic repair of Morgagni hernias was reported as early as 1994, 1 but laparoscopic repair of Bochdalek hernias has only recently been described. 2,3 Morgagni hernias occur in the anterior aspect of the diaphragm near the midline (Fig. 1).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Repair of Congenital Diaphragmatic Hernias

Richardson

Bolton²

2002

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Laparoscopic Repair of a Congenital Diaphragmatic Hernia in an Adult

Abstract: A patient undergoing laparoscopic Nissen fundoplication had an intraoperative finding of a left Bochdalek hernia, which was repaired with an onlay of fenestrated PTFE. This appears to be the first report of such a case.

Cited by 20 publications

References 12 publications

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study

Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report

Laparoscopic Repair of Congenital Diaphragmatic Hernias

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