Laparoscopic repair of a large pericardial hernia
Pericardial hernias (PH) are rare entities, and surgical experience in dealing with these defects is limited. PH develop through either a congenital or acquired defect in the central tendon of the diaphragm, and in adults, PH are usually associated with high-energy traumatic rupture or develop as an iatrogenic consequence of surgical interventions, such as pericardial window procedures, cardiac surgery, etc. [1, 2, 3, 4]. Although the role of laparoscopy in the diagnosis and management of diaphragmatic and paraesophageal hernias is well known, experience with a minimally invasive surgical approach to the repair of PH is not well established.
We present a case along with video depiction of a successful laparoscopic repair of a large (5 × 8-cm) PH defect in a 49-year-old, African-American female with a several-year history of worsening dysphagia, episodic epigastric discomfort, and symptomatic gastroesophageal reflux. The patient denied any cardiac complaints or symptoms. Her...
KeywordsSystemic Lupus Erythematosus Hernia Defect Diaphragmatic Defect Hiatal Hernia Repair Invasive Surgical Approach
Dr. Chan W. Park has nothing to disclose.
- Dr. Aurora D. Pryor has the following potential conflicts of interest to disclose:
TransEnterix—Ownership interest & consultant
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- 15.Andujar JJ, Papasavas PK, Birdas T, Robke J, Raftopoulos Y, Gagné DJ, Caushaj PF, Landreneau RJ, Keenan RJ (2004) Laparoscopic repair of large paraesophageal hernia is associated with a low incidence of recurrence and reoperation. Surg Endosc 18(3):444–447 [Epub 2004 Feb 2]PubMedCrossRefGoogle Scholar