World Journal of Laparoscopic Surgery

Register      Login

VOLUME 13 , ISSUE 1 ( January-April, 2020 ) > List of Articles

CASE REPORT

Laparoscopic Diaphragmatic Repair: A Single-center Experience

Eppa Vimalakar Reddy, Gourang Shroff, Vemula Bala Reddy, Dinesh Reddy Kaipu, Raju Musham

Keywords : Diaphragmatic eventration, Laparoscopy, Mesh repair, Minimal invasive, Traumatic diaphragmatic rupture,Congenital diaphragmatic hernia

Citation Information : Reddy EV, Shroff G, Reddy VB, Kaipu DR, Musham R. Laparoscopic Diaphragmatic Repair: A Single-center Experience. World J Lap Surg 2020; 13 (1):46-50.

DOI: 10.5005/jp-journals-10033-1391

License: CC BY-NC 4.0

Published Online: 00-04-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: With the ongoing advances in the field of laparoscopy, more and more of diaphragmatic repairs are being performed laparoscopically. All forms of diaphragmatic pathologies, such as congenital diaphragmatic hernia (CDH) including diaphragmatic eventration, hiatus hernia as well as traumatic diaphragmatic rupture, can be well performed through laparoscopy. Laparoscopic repair along with the advantage of improved vision and accessibility can also avoid large incisions, thereby reducing morbidity and long hospital stay, due to pain and lung complications, with early return to work. Materials and methods: A total of five cases underwent laparoscopic diaphragmatic repair at our center in 1 year duration. All cases were followed up with immediate postoperative and quarterly chest X-rays. Results: None required conversion to open. Diaphragm was reconstructed and reinforced with mesh. None had any postoperative complications. Follow-up postoperative chest X-rays were unremarkable. Conclusion: Laparoscopic diaphragmatic hernia repair is a feasible, acceptable, affordable, superior, and safe alternative to open repair with better short-term postoperative outcomes and a recurrence rate similar to the open approach.


PDF Share
  1. Lu J, Wang B, Che X, et al. Delayed traumatic diaphragmatic hernia: a case series report and literature review. Wolters Kluwer Health Inc 2016;95:32.
  2. Rashid F, Chakrabarty MM, Singh R, et al. A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg 2009;4(1):32.
  3. Petrone P, Asensio J, Marini C. Diaphragmatic injuries and post-traumatic diaphragmatic hernias. Curr Probl Surg 2017;54:11–32.
  4. Wardi G, Lashoff D, Cobb A, et al. Visual diagnosis in emergency medicine; traumatic diaphragmatic hernia. J Emerg Med 2014;46:80–82.
  5. Shah S, Mathews DB, Sing FR, et al. Laparoscopic repair of a chronic diaphragmatic hernia. Surg Laparosc Endosc 2000;10:182–186.
  6. Saroj SK, Kumar S, Afaque Y, et al. Laparoscopic repair of congenital diaphragmatic hernia in adults. Minimally invasive surgery. 2016;2016:9032380. , 5 pages http://dx.doi.org/10.1155/2016/9032380.
  7. Christiansen LA, Blichert-Toft M, Bertelsen S. Strangulated diaphragmatic hernia. A clinical study. Am J Surg 1975;129(5):574–578.
  8. Al-Emadi M, Ismail H, Nada MA, et al. Laparoscopic repair of Bochdalek hernia in an adult. Surg Laparos Endos 1999;9(6):423–425.
  9. Goh BKP, Teo MCC, Chng S-P, et al. Rightsided Bochdalek's hernia in an adult. Am J Surg 2007;194(3):390–391.
  10. Swain JM, Klaus A, Achem SR, et al. Congenital diaphragmatic hernia in adults,. Semin Laparosc Surg 2001;8(4):246–255.
  11. Rice GD, O’Boyle CJ, Watson DI, et al. Laparoscopic repair of Bochdalek hernia in an adult. ANZ J Surg 2001;71(7):443–445.
  12. Palanivelu C, Rangarajan M, Rajapandian S, et al. Laparoscopic repair of adult diaphragmatic hernias and eventration with primary sutured closure and prosthetic reinforcement: a retrospective study. Surg Endosc 2009;23:978–985. DOI: 10.1007/s00464-008-0294-1.
  13. Mullins ME, Saini S. Imaging of incidental Bochdalek hernia. Semin Ultrasound CT MR 2005;26:28–36.
  14. Thoman DS, Hui T, Phillips EH. Laparoscopic diaphragmatic hernia repair. Surg Endosc 2002;16:1345–1349. DOI: 10.1007/s00464-001-8162-2.
  15. Kitano Y, Lally KP, Lally PA. Congenital diaphragmatic hernia study group: late-presenting congenital diaphragmatic hernia. J Pediatr Surg 2005;40:1839–1843.
  16. Campos LI, Sipes EK. Laparoscopic repair of diaphragmatic hernia. J Laparoendosc Surg 1991;1:369–373.
  17. Kuster GG, Kline LE, Garzo G. Diaphragmatic hernia through the foramen of Morgagni: laparoscopic repair case report. J Laparoendosc Surg 1992;2:93–100.
  18. Nguyen P, Davis B, Tran DD. Laparoscopic repair of diaphragmatic rupture: a case report with radiological and surgical correlation. Case Rep Surg 2017;2017:4159108. 4 pages https://doi.org/10.1155/2017/4159108.
  19. Paul S, Nasar A, Port JL, et al. Comparative analysis of diaphragmatic hernia repair outcomes using the nationwide inpatient sample database. Arch Surg 2012;147(7):607–612. DOI: 10.1001/archsurg.2012.127.
  20. Shin MS, Mulligan SA, Baxley WA, et al. Bochdalek hernia of diaphragm in the adult: diagnosis by computed tomography. Chest 1987;92(6):1098–1101.
  21. Wilbur AC, Gorodetsky A, Hibbeln JF. Imaging findings of adult Bochdalek hernias. Clin Imaging 1994;18(3):224–229.
  22. Thomas S, Kapur B. Adult Bochdalek hernia—clinical features, management and results of treatment. Jpn J Surg 1991;21(1):114–119.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.