Treatment for right-sided intrathoracic kidney with congenital diaphragmatic hernia by combined thoracoscopic and laparoscopic approach: a case report and literature review

Abstract BackgroundIntrathoracic kidney (ITK) associated with congenital diaphragmatic hernia (CDH) is rare congenital anomaly and usually requires surgery. The surgical methods and approaches are diverse.Case presentationWe reported a case of a 5-year-old boy who was diagnosed as right-sided ITK with CDH. Surgical treatment was performed by combined thoracoscopic and laparoscopic approach. Anatomical reposition of the right kidney and nephropexy were carried out under laparoscopy, and repair of the hernia was performed under thoracoscopy. The postoperative recovery was uneventful and long-term follow-up demonstrated normal function and development of the kidney.ConclusionCombined thoracoscopic and laparoscopic approach is minimally invasive and effective for treatment of ITK associated with CDH. It provides better visualization of the diaphragmatic foramen and the hernia sac, and can achieve anatomical reposition and fixation of the ectopic kidney.

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Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia

Surgical Techniques Development ◽

10.4081/std.2011.e6 ◽

2011 ◽

Vol 1 (1) ◽

pp. 6

Author(s):

Claire R. Jackson ◽

Gordan A. MacKinlay ◽

Merrill McHoney

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Postoperative Recovery ◽

Technical Note ◽

Diaphragmatic Defect ◽

Hernia Sac ◽

Thoracoscopic Repair ◽

Technical Learning ◽

Number Of Authors

Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has been described by a number of authors and is increasingly widely practiced. We present a technical learning point. CDH is associated with the presence of a hernia sac in around 20% of all cases. In this case the presence of a ruptured hernia sac complicated the thoracoscopic repair of a left sided CDH, as it was initially difficult to recognise. Once the anatomy was clarified the repair was satisfactorily completed and the child made a rapid postoperative recovery. This technical note is to warn other surgeons that a tunnel like appearance of the diaphragmatic defect may in fact be due to the presence of a torn hernia sac, which requires excision before closure of the defect.

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Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

Minimally Invasive Surgery ◽

10.1155/2016/9032380 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Sanjay Kumar Saroj ◽

Satendra Kumar ◽

Yusuf Afaque ◽

Abhishek Kumar Bhartia ◽

Vishnu Kumar Bhartia

Keyword(s):

Surgical Treatment ◽

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Laparoscopic Repair ◽

Harmonic Scalpel ◽

Postoperative Recovery ◽

Early Recovery ◽

Asymptomatic Patients ◽

The Right

Background, Aims, and Objectives. Congenital diaphragmatic hernia typically presents in childhood but in adults is extremely rare entity. Surgery is indicated for symptomatic and asymptomatic patients who are fit for surgery. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy. With the advent of minimal access techniques, the open surgical repair for this hernia has decreased and results are comparable with early recovery and less hospital stay. The aim of this study is to establish that laparoscopic repair of congenital diaphragmatic hernia is a safe and effective modality of surgical treatment.Materials and Methods.A retrospective study of laparoscopic diaphragmatic hernia repair done during May 2011 to Oct 2014. Totaln=13(M/F: 11/2) cases of confirmed diaphragmatic hernia on CT scan, 4 cases Bochdalek hernia (BH), 8 cases of left eventration of the diaphragm (ED), and one case of right-sided eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed with nonabsorbable tackers. All patients had good postoperative recovery and went home early with normal follow-up and were followed up for 2 years.Conclusion.The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands.

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Late presentation of congenital diaphragmatic hernia: Case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1510604r ◽

2015 ◽

Vol 143 (9-10) ◽

pp. 604-608 ◽

Cited By ~ 3

Author(s):

Sasa Radovic

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Clinical Manifestation ◽

Diaphragmatic Hernia ◽

Neonatal Period ◽

Abdominal Cavity ◽

Gastrointestinal Symptoms ◽

Inadequate Response ◽

Hernia Sac ◽

Right Lobe ◽

The Right

Introduction. Congenital diaphragmatic hernia (CDH) is a defect of the diaphragm with the penetration of organs of the abdominal cavity into thorax. Localization and size of the defect of the diaphragm condition the time and range of clinical manifestation. The most common is unilateral, without hernia sac, located on the left side, through posterolateral opening of the diaphragm and with clinical manifestation during the neonatal period. Smaller subgroup consists of patients with presentation outside the neonatal period with anatomic defect on the right side as is the case with our patient. Case Outline. Female infant aged seven months was hospitalized because of repeated episodes of shortness of breath and cough, with lack of progress in body weight. The discomforts had been present for the previous two months with an inadequate response to bronchodilator and antibiotic therapy used. After clinical, radiographic, ultrasound and computed tomography treatment, the right-sided diaphragmatic hernia was diagnosed, so surgical treatment followed. The defect of the diaphragm with hernia sac, through which the right lobe of the liver with visible line of entrapment, in the form of ?hourglass?, is pushed into thoracic cavity, was intraoperatively identified. The reposition of the right lobe of the liver in the abdominal cavity along with reconstruction of the diaphragm using interrupted mattress sutures was performed. Conclusion. The late manifestation of CDH should be suspected in cases of inexplicable acute or chronic respiratory or gastrointestinal symptoms with pathological radiography of the thorax. Accurate diagnosis and timely minimally invasive surgical intervention ensure an excellent prognosis.

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Long term follow-up of inguinal endometriosis

BMC Women s Health ◽

10.1186/s12905-021-01235-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

BoRan Mu ◽

ZhiQiang Zhang ◽

Chongdong Liu ◽

Kunning Zhang ◽

ShuHong Li ◽

...

Keyword(s):

Management Strategies ◽

Uterosacral Ligament ◽

Round Ligament ◽

Pelvic Endometriosis ◽

Ovarian Endometriosis ◽

Hernia Sac ◽

Peritoneal Endometriosis ◽

Long Term Follow Up ◽

The Right

Abstract Background Inguinal endometriosis (IEM) is a rare extra pelvic endometriosis. Here, we study the clinical characteristics, management strategies, and long-term gynecological outcomes of IEM patients at Beijing Chaoyang Hospital. Case presentation Three patients presented with a total of four lesions (one on the left side, one on the right side, and one bilaterally). The diameters of the four lesions were 2 cm, 2 cm, 3.5 cm and 1.5 cm, respectively. Two patients were admitted with inguinal hernias. Two patients were admitted with endometrioses—one with ovarian endometriosis and one with pelvic endometriosis. The hernia sac was repaired concomitantly via excision of the round ligament in two patients. One patient underwent a concomitant laparoscopy for gynecologic evaluations, including an ablation to the peritoneal endometriosis, and resection of the left uterosacral ligament endometriosis and pelvic adhesiolysis. All lesions were located on the extraperitoneal portion of the round ligament and were diagnosed histologically. No recurrence was observed in the inguinal region. All patients diagnosed with adenomyosis were treated with medication alone without any complaints. Conclusions Inguinal endometriosis can occur simultaneously with pelvic endometriosis. In most cases, a concomitant hernia sac appears together with groin endometriosis. Clinical management should be individualized and performed in tandem with general practitioners and obstetrics & gynecology experts. Pelvic disease, in particular, should be followed-up by a gynecologist.

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Left Side Congenital Diaphragmatic Hernia with Sac and Broncho-Pulmonary Sequestration: A Report to Reinforce The Need to Excise the Hernia Sac

Biomedical Journal of Scientific & Technical Research ◽

10.26717/bjstr.2018.06.001367 ◽

2018 ◽

Vol 6 (3) ◽

Author(s):

Shasanka Shekhar Panda

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Pulmonary Sequestration ◽

Hernia Sac

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Hernia Sac Presence Portends Better Survivability of Isolated Congenital Diaphragmatic Hernia with “Liver-Up”

American Journal of Perinatology ◽

10.1055/s-0036-1593765 ◽

2016 ◽

Vol 34 (05) ◽

pp. 515-519 ◽

Cited By ~ 2

Author(s):

Jurica Vuković ◽

Milivoj Novak ◽

Toby Weingarten ◽

Darrell Schroeder ◽

Juraj Sprung ◽

...

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Hernia Sac

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Unilateral pulmonary aplasia and congenital diaphragmatic hernia associated with tetralogy of Fallot: a rare trifecta

Cardiology in the Young ◽

10.1017/s1047951119003251 ◽

2020 ◽

Vol 30 (1) ◽

pp. 121-122

Author(s):

Niraj N. Pandey ◽

Mumun Sinha ◽

Sanjeev Kumar

Keyword(s):

Small Bowel ◽

Congenital Diaphragmatic Hernia ◽

Tetralogy Of Fallot ◽

Diaphragmatic Hernia ◽

The Right

AbstractWe present a case of a 7-month-old boy with tetralogy of Fallot associated with unilateral pulmonary aplasia and herniation of the liver and small bowel loops in the right hemithorax.

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Postnatal ultrasonography for evaluation of hernia sac of neonate with congenital diaphragmatic hernia

Radiology Case Reports ◽

10.1016/j.radcr.2019.03.012 ◽

2019 ◽

Vol 14 (6) ◽

pp. 683-686

Author(s):

Takahiro Hosokawa ◽

Yutaka Tanami ◽

Yumiko Sato ◽

Eiji Oguma ◽

Kanako Omata ◽

...

Keyword(s):

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Hernia Sac

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Right Sided Bochdalek Hernia in Adult: A Case Report & Review of Literature

Nepalese Journal of Radiology ◽

10.3126/njr.v8i1.20457 ◽

2018 ◽

Vol 8 (1) ◽

pp. 44-47

Author(s):

Bishownath Sharma ◽

Dipesh Gupta

Keyword(s):

Case Report ◽

Congenital Diaphragmatic Hernia ◽

Diaphragmatic Hernia ◽

Bochdalek Hernia ◽

Review Of Literature ◽

The Right

Bochdalek hernia is the most common congenital diaphragmatic hernia that typically presents in childhood. However, right sided diaphragmatic hernia is relatively rare. We review the case of 21 years old female with incidentally detected congenital diaphragmatic hernia on the right side. There are fewer than 20 cases of right sided diaphragmatic hernia reported in adults in literature.

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