Robotic transthoracic diaphragmatic hernia repair

Sideris, Antonios C.; Molena, Daniela

doi:10.1016/j.xjtc.2021.08.026

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…A limited number of reports document robot-assisted repair of TDH [ 8 ]. Our case represents the feasibility of robot-assisted repair of TDH in the delayed presentation.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted repair of delayed traumatic diaphragmatic hernia: a case report

Holder,

Bakeer

2024

Journal of Surgical Case Reports

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Traumatic diaphragmatic hernia is a sign of severe thoracoabdominal trauma that is often difficult to detect because of nonspecific presenting symptoms, delayed presentation, and distracting injuries. Diagnosis depends on imaging and a high degree of suspicion in patients who present with respiratory or gastrointestinal symptoms after trauma, and prompt surgical repair is required. This case reviews a patient who presented to the emergency department with burning epigastric pain radiating to the left chest and hematemesis ~1 month after sustaining a blunt abdominal injury. Imaging studies revealed a substantial portion of the gastric body in the left hemithorax. Robot-assisted reduction of the stomach was performed followed by repair with tension-free primary closure without mesh reinforcement and gastropexy. The patient was monitored for return of bowel function and discharged upon recovery. This case report highlights the diagnostic challenges of traumatic diaphragmatic hernia and the benefit of robot-assisted repair.

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“…A limited number of reports document robot-assisted repair of TDH [ 8 ]. Our case represents the feasibility of robot-assisted repair of TDH in the delayed presentation.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted repair of delayed traumatic diaphragmatic hernia: a case report

Holder,

Bakeer

2024

Journal of Surgical Case Reports

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“…[4,19,20] In recent years, there have been reports reporting robotic transabdominal and transthoracic DH repair in elective cases. [21,22] Conventionally, an open abdominal approach and primary closure are used. However, repair with polypropylene or dual-layer mesh is a safe alternative in cases where the size of the defect is too large to be closed with non-absorbable sutures or in cases of severe tissue loss.…”

Section: Discussionmentioning

confidence: 99%

Repair of diaphragmatic hernias: Retrospective analysis of 70 cases

Köneş

2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:Congenital and traumatic diaphragmatic hernias (DH) can lead to respiratory and gastrointestinal complications that can be the cause of serious morbidity and mortality. In this study, we aimed to share our experience with the surgical repair of complicated or non-complicated DH. METHODS:Patients who were operated on under emergency or elective conditions with the diagnosis of DH between 2009 and 2023 were analyzed retrospectively. Demographic characteristics, histories, symptoms, etiology of DH, computed tomography findings, surgical techniques, and postoperative outcomes of the patients were recorded. RESULTS:The mean age of the cases was 51.5±18.5, and 29 were female and 41 were male. Hernia etiology was found to be congenital (40%), traumatic (32.8%), spontaneous (14.3%), and iatrogenic (12.8%), respectively. The mean diameter of the defects was 7.3±2.76 cm (range: 3-15 cm), and 84% of the defects were on the left side. Sixty percent of the cases were treated by laparoscopic surgery and 11.4% by laparotomy. The conversion rate from laparoscopic to open was 24.3%. Dual mesh was used in 48% of the patients, and primary suturing was applied in 34%. The postoperative mortality rate was 7.1%. CONCLUSION:DH is an important cause of morbidity and mortality due to abdominal organ strangulation and pulmonary and cardiac complications. When a DH is diagnosed, laparoscopic or open surgery is the treatment that should be preferred.

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Inra¹,

Lazzaro²

2021

JTCVS Techniques

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Robotic transthoracic diaphragmatic hernia repair

Cited by 4 publications

References 8 publications

Robot-assisted repair of delayed traumatic diaphragmatic hernia: a case report

Robot-assisted repair of delayed traumatic diaphragmatic hernia: a case report

Repair of diaphragmatic hernias: Retrospective analysis of 70 cases

Commentary: Do. Share. Discuss. Improve. Repeat.

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