Successful thoracoscopic repair of traumatic diaphragmatic hernia in a child

Abstract

Traumatic diaphragmatic hernia is very rare in children, and the diagnosis is often missed or delayed. Herein, we reported a 2-year-old boy who had suffered with traumatic diaphragmatic hernia due to a car crash. The child was manifested as tachypnoea without any other severe symptoms. The computed tomography scanning showed his right diaphragm was rupture. Soon, this patient was received a thoracoscopic repair surgery, and he was discharged 2 weeks later without any complication.

Transabdominal Minimally Invasive Repair of a Left Chronic Traumatic Diaphragmatic Hernia

“…Chronic TDH has traditionally been treated via laparotomy or thoracotomy. However, the laparoscopic approach (including robot-assisted, as described here) provides excellent exposure to mid-left TDH, with the potential to avoid the morbidity of an open approach [4]. A robot-assisted thoracoscopic repair has been described for a right TDH with liver herniation, with similarly excellent results [8,9], and recurrence of TDH after initial repair has also been repaired with the minimally invasive approach [10].…”

“…Due to the apparent high rate of progression through these phases in a missed TDH and the potential for incarceration and strangulation of abdominal viscera if not treated, TDH is recommended to be repaired upon discovery of the injury [3]. TDH is conventionally repaired via thoracotomy or laparotomy [4,5], but minimally invasive approaches have been described [6,7]. In this paper, we present a case of a chronic left TDH due to missed left TDH, with resultant herniation of the stomach.…”