scholarly journals Treatment of Chronic Traumatic Diaphragmatic Hernia Based on Laparoscopic Repair: Experiences From 23 Cases

2021 ◽  
Vol 8 ◽  
Author(s):  
Qiaonan Liu ◽  
Li Luan ◽  
Guangyong Zhang ◽  
Bo Li
Keyword(s):  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Operation Time ◽  
Patient Characteristics ◽  
Fast Recovery ◽  
Intraoperative Bleeding ◽  
Traumatic Diaphragmatic Hernia ◽  
Blood Loss Volume ◽  
Diaphragmatic Hernia Repair

Background: We aimed to investigate the safety and effectiveness of laparoscopic repair for treating chronic traumatic diaphragmatic hernia (CTDH).Methods: In this retrospective analysis, we included 23 cases with CTDH underwent laparoscopy in our hospital between June 2015 and October 2019 was performed. The patient characteristics were recorded. We compared the diameter of hernia ring, surgery duration, intraoperative bleeding volume, means of repairing, as well as the follow-up data.Results: All the patients underwent laparoscopic diaphragmatic hernia repair, without conversion to laparotomy or thoracotomy. The operation time ranged from 60 min to 200 min (mean, 108.04 ± 42.93 min). The blood loss volume ranged from 10 to 300 ml (mean volume, 63.48 ± 71.69 ml). The postoperative hospital stayed ranged from 5 to 15 days (mean, 6.22 ± 2.11 days). The patients were followed up for 1–50 months (mean, 17.5 ± 10.90 months). No recurrence of diaphragmatic hernia was found.Conclusions: Laparoscopic repair of CTDH is featured by fast recovery, high security, and effectiveness. Reducing the hernia contents and close of the hernia ring are crucial for the surgery that is performed based on the size and location of the diaphragmatic hernia.

scholarly journals Laparoscopic splenectomy and porto-azygos disconnection: clinical research in the treatment of portal hypertension

Open Medicine ◽  
2015 ◽  
Vol 10 (1) ◽  
Author(s):  
Wang Fengyong ◽  
Sun Yuanshui ◽  
Wu Yuewu ◽  
Zhan Weihua ◽  
Shi Jianfeng ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Laparoscopic Splenectomy ◽  
Operation Time ◽  
Spleen Volume ◽  
Spiral Computed ◽  
Curative Effect ◽  
Intraoperative Bleeding ◽  
Safety And Efficacy ◽  
Open Abdominal Surgery

Abstract To investigate the safety and efficacy of laparoscopic splenectomy and portaazygous devascularization, we studied laparoscopic splenectomy and porto-azygos devascularization patients within the peri-operative period. Clinical data and curative effect are detailed alongside statistical analysis. The laparoscopic splenectomy and porto-azygos devascularization operation time was 2.56 + 0.62 hours. The intraoperative bleeding and anal exhaust time was 149.5 + 32.7ml 3.47 + 1.32 days, and the hospitalization time was 5.05 + 1.22 days. When the spleen volume was greater than or equal to 1.5 liters, the rate of open abdominal surgery increased significantly. After 1, 2, 3, and 4 years of follow-up, cumulative recurrence bleeding rates were 0, 5.20%, 9.98%, and 15.83%, respectively. Laparoscopic splenectomy and pericardial devascularization is safe, effective, and feasible, and it can be confirmed by enhanced spiral computed tomography (CT). Whether spleen volume greater than 1.5L is suited to laparoscopic surgery requires further research.

Laparoscopic Repair of Traumatic Diaphragmatic Hernia

2001 ◽  
Vol 11 (3) ◽  
pp. 209-212 ◽  
Author(s):  
Jorge Cueto ◽  
José Antonio Vázquez-Frias ◽  
Roberto Nevarez ◽  
Luis Poggi ◽  
Natan Zundel
Keyword(s):  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Traumatic Diaphragmatic Hernia

Diaphragmatic hernia repair using a rectus abdominis muscle pedicle flap in three dogs

2013 ◽  
Vol 26 (02) ◽  
pp. 135-139 ◽  
Author(s):  
P. Chantawong ◽  
K. Komin ◽  
W. Banlunara ◽  
M. Kalpravidh
Keyword(s):  
Diaphragmatic Hernia ◽  
Rectus Abdominis ◽  
Rectus Abdominis Muscle ◽  
Wound Edge ◽  
Pedicle Flap ◽  
Fluoroscopic Examination ◽  
Paradoxical Motion ◽  
Radial Tear ◽  
Diaphragmatic Hernia Repair

SummaryObjective: To report the clinical use of a pedicle flap from the rectus abdominis muscle to repair extensive diaphragmatic tears in dogs with diaphragmatic hernia.Materials and methods: Three dogs with a combination of radial and circumferential diaphragmatic tears were studied. The circumferential tear was repaired by suturing the wound edge with the edge at the abdominal wall. A pedicle flap of the rectus abdominis muscle was used for repairing the radial tear. The dogs were examined radiographically for lung and diaphragm appearance and evidence of reherniation at 10 days, and at one, two, and four months after surgery, and fluoroscopically for paradoxical motion of the diaphragm at one and four months.Results: The rectus abdominis muscle pedicle flap was successfully used in all three dogs. The animals recovered uneventfully without evidence of reherniation during the four follow-up months. Fluoroscopic examination revealed no paradoxical motion of the diaphragm.Clinical significance: A rectus abdominis muscle pedicle flap can be used for repairing large diaphragmatic defects in dogs.

Laparoscopic repair of traumatic diaphragmatic hernia with colon incarceration: A case report

2020 ◽  
Author(s):  
Saki Nishikawa ◽  
Masashi Miguchi ◽  
Hideki Nakahara ◽  
Takashi Urushihara ◽  
Hiroyuki Egi ◽  
...  
Keyword(s):  
Case Report ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Repair ◽  
Traumatic Diaphragmatic Hernia

scholarly journals Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
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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