Single-Incision Laparoscopic Nontraumatic Left Lateral Diaphragmatic Hernia Repair

Abstract

Diaphragmatic hernia is a quite uncommon disease, being congenital or posttraumatic. Its diagnosis is frequently accidental. Surgical treatment can be performed through the abdomen as well as through the chest. Laparoscopy and thoracoscopy offer a surgical benefit because of reduced wall trauma and added advantages of minimally invasive surgery. Besides the improved cosmetic result, transumbilical single-incision laparoscopy can add other advantages to minimally invasive surgery like reduced postoperative pain, shorter hospital stay, and improved patient's comfort. The authors describe the technique of transumbilical single-incision laparoscopic suture and mesh reinforcement for a nontraumatic left lateral diaphragmatic hernia, discovered accidentally in a 45-year-old male.

Use of Nonabsorbable Spiral Tacks for Mesh Reinforcement in Thoracoscopic Repair of Congenital Diaphragmatic Hernia

“…Dapri et al recently described a case of a nontraumatic left lateral diaphragmatic hernia repair by single-incision laparoscopy (SILS) with mesh reinforcement using spiral tacks in a 45-year-old male. 14 A case of thoracoscopic repair of recurrent diaphragmatic hernia using spiral tacks to fix the mesh in a neonate was also reported recently by Riquelme et al 15 In our cases, no intraoperative complications, bleeding, or abnormal positioning occurred during tack application. In addition, no displacement of the tacks and no hernia recurrence were observed in the immediate postoperative period suggesting that the anchoring of the mesh was reliable.…”