Laparoscopic repair of traumatic diaphragmatic hernia with colon incarceration: A case report

Abstract

Traumatic diaphragmatic hernia is a serious complication of blunt trauma to the abdomen or thorax. Although traumatic diaphragmatic hernia is treated with surgical repair, a laparoscopic approach is infrequently employed. Here we present the case of a 66‐year‐old man with a bruise on the left side of his back. CT revealed a left pneumothorax and left rib fractures. He was urgently hospitalized and relieved with conservative treatment. However, on day 4 of hospitalization, an incarcerated diaphragmatic hernia containing the transverse colon was observed on CT. The herniated viscera of the abdominal cavity were reduced laparoscopically, and the hernial orifice was repaired with direct closure. One‐lung ventilation was used to limit the movement of the affected diaphragm, enabling effective laparoscopic suturing. The patient had an uneventful recovery period and was discharged 8 days postoperatively. The absence of diaphragmatic herniation recurrence was confirmed 6 months after surgery.

Treatment of giant diaphragmatic hernia in adults with transabdominal hernia ring orthopedic suture and continuous negative pressure suction of hernia sac cavity

“…However, for patients with hemodynamic instability, respiratory instability, acute obstruction or strangulation, open surgery is still the main method. At the same time, patients with CDH or chronic TDH with a longer course of disease are likely to have extensive and tight adhesion between the diaphragm and herniated organs, making it difficult to restate the organs under laparoscopy, and gastrointestinal injury or bleeding may occur [10]. In this study, 1 patient with CDH and 3 patients with chronic TDH were found to have obvious adhesion between the diaphragm and herniated organs during the operation.…”

Laparoscopic Repair Following a Delayed Presentation of Traumatic Diaphragmatic Hernia: A Case Report

“…The intraoperative placement of a thoracic drain under laparoscopic control is effective in preventing postoperative pneumothorax [6]. However, one-lung ventilation on the opposite side with a double-lumen tube when suturing the diaphragm is effective in suppressing the movement of the diaphragm [17]. The authors also reported that intrapleural air could be eliminated by pressurizing the lungs as much as possible immediately before the complete closure of the diaphragmatic hernia, thereby eliminating the need for a thoracic decompression tube [17].…”

Laparoscopic‐assisted thoracoscopic repair of latent traumatic diaphragmatic hernia: A case report

“…In recent years, minimally invasive surgery such as laparoscopic or thoracoscopic surgery is being performed. [3][4][5] The optimal approach should be considered for each individual case, based on the timing of surgery and required procedures.…”

“…This approach can be used to repair any site, is preferable for injury of the right or the ventral side, which are particularly difficult with the transabdominal approach. In recent years, minimally invasive surgery such as laparoscopic or thoracoscopic surgery is being performed 3–5 . The optimal approach should be considered for each individual case, based on the timing of surgery and required procedures.…”