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Surgical Endoscopy

, Volume 27, Issue 8, pp 2971–2973 | Cite as

Laparoscopic repair of a large pericardial hernia

  • Chan W. ParkEmail author
  • Aurora D. Pryor
Video

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.

Case report

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...

Keywords

Systemic Lupus Erythematosus Hernia Defect Diaphragmatic Defect Hiatal Hernia Repair Invasive Surgical Approach 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Disclosures

  • 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

    • Covidien—Consultant

    • Barosense—Ownership interest

Supplementary material

Supplementary material 1 (MP4 53885 kb)

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Duke University Health SystemDurhamUSA
  2. 2.Stony Brook UniversityStony BrookUSA

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