scholarly journals Role of Laparoscopy in Treatment of Diaphragmatic Hernia in Adult

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A A Almenawy ◽  
A M Almaraghy ◽  
M S Farahat ◽  
R M Nageeb

Abstract Background congenital diaphragmatic hernia in adult is a rare condition, most of cases are asymptomatic and discovered accidental. We reported 10 cases of diaphragmatic hernia repaired successfully via the laparoscopic approach. Objectives to describe the role of laparoscopy in treatment of congenital and traumatic diaphragmatic hernia in adult. Methods prospective study was conducted on 10 adult patients suffering from diaphragmatic hernia to evaluate the role of laparoscopy in treatment of diaphragmatic hernia in adult. The study was conducted at general surgery department of Ain shams university hospitals and Kafr ash Shaykh general hospital including all symptomatic types of diaphragmatic hernia on both adult male and female patients with age more than 18 years. Results We achieved satisfactory intracorporeal repair of these diaphragmatic defects. The patients had excellent recovery and started on oral diet one to two days postoperative except one patient (10%) started on the 5th day due to resection anastomoses, and then were discharged with symptomatic relieve after surgery. Conclusion The minimally invasive advantage of laparoscopic approach offers a secure, reliable and satisfactory way to confirm the diagnosis and achieve the repair of diaphragmatic hernia.

2016 ◽  
Vol 58 (7) ◽  
pp. 601-603 ◽  
Author(s):  
Marco Ghionzoli ◽  
Martina Bongini ◽  
Roberto Lo Piccolo ◽  
Alessandra Martin ◽  
Giorgio Persano ◽  
...  

2010 ◽  
Vol 26 (4) ◽  
pp. 289-292
Author(s):  
Irene Piscioli ◽  
Salvatore Donato ◽  
Maria Grazia Zorzi ◽  
Teresa Pusiol

2002 ◽  
Vol 63 (7) ◽  
pp. 1675-1678
Author(s):  
Hideo MATSUMOTO ◽  
Hiromitsu SUZUKI ◽  
Yoshio YUASA ◽  
Ichiro ARIOKA ◽  
Masahiro OKADA ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Enrico Erdas ◽  
Gian Luigi Canu ◽  
Luca Gordini ◽  
Paolo Mura ◽  
Giulia Laconi ◽  
...  

Postoperative diaphragmatic hernia (PDH) is an increasingly reported complication of esophageal cancer surgery. PDH occurs more frequently when minimally invasive techniques are employed, but very little is known about its pathogenesis. Currently, no consensus exists concerning preventive measures and its management. A 71-year-old man underwent minimally invasive esophagectomy for esophageal cancer. Three months later, he developed a giant PDH, which was repaired by direct suture via laparoscopic approach. A hypertensive pneumothorax occurred during surgery. This complication was managed by the anaesthesiologist through a high fraction of inspired O2 and several recruitment manoeuvres. The patient remained free of hernia recurrence until he died of neoplastic cachexia 5 months later. Laparoscopic repair of PDH may be safe and effective even in the acute setting and in the case of massive herniation. However, surgeons and anaesthesiologists should be aware of the risk of intraoperative pneumothorax and be prepared to treat it promptly.


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