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Thoracolaparoscopic repair of diaphragmatic hernias

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Complex long-standing diaphragmatic hernia presenting in adults is often managed through an open approach. Minimal invasive approach by either laparoscopy or thoracoscopy is limited by its ability to tackle these complex hernias with large defects and thoraco-mediastinal adhesions. Thus, standard laparoscopic or thoracoscopic approach is associated with high conversion to open approach. We herein describe a novel combined thoraco-laparoscopic approach to repair complex diaphragmatic hernias in a series of three adults.

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Available on request from the editor.

References

  1. Spellar K, Gupta N. Diaphragmatic hernia. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2020. Available from: http://www.ncbi.nlm.nih.gov/books/NBK536952/.

    Google Scholar 

  2. Chandrasekharan PK, Rawat M, Madappa R, Rothstein DH, Lakshminrusimha S. Congenital diaphragmatic hernia – a review. Matern Health Neonatol Perinatol. 2017;3:6.

    Article  Google Scholar 

  3. Bianchi E, Mancini P, De Vito S, et al. Congenital asymptomatic diaphragmatic hernias in adults: a case series. J Med Case Rep. 2013;7:125.

    Article  Google Scholar 

  4. Saroj SK, Kumar S, Afaque Y, Bhartia AK, Bhartia VK. Laparoscopic repair of congenital diaphragmatic hernia in adults. Minim Invasive Surg. 2016;2016:9032380.

    PubMed  PubMed Central  Google Scholar 

  5. Kumar A, Bhandari RS. Morgagni hernia presenting as gastric outlet obstruction in an elderly male. J Surg Case Rep. 2016;2016. https://doi.org/10.1093/jscr/rjw126.

  6. Young MC, Saddoughi SA, Aho JM, et al. Comparison of laparoscopic versus open surgical management of Morgagni hernia. Ann Thorac Surg. 2019;107:257–61.

    Article  Google Scholar 

  7. Rashid F, Chakrabarty MM, Singh R, Iftikhar SY. A review on delayed presentation of diaphragmatic rupture. World J Emerg Surg. 2009;4:32.

    Article  Google Scholar 

  8. Al Sabah S, Al Haddad E, Vaz JD. Repair of a giant diaphragmatic hernia using the dual approach. J Surg Case Rep. 2019;2019. https://doi.org/10.1093/jscr/rjz064.

  9. Riduan AN, Sathiamurthy N. Hybrid laparoscopic and video-assisted thoracoscopic surgery repair of recurrent traumatic diaphragmatic hernia: a case report and literature review. MGM J Med Sci. 2018;5:88–90.

    Article  Google Scholar 

  10. Sanford Z, Weltz AS, Brown J, Shockcor N, Wu N, Park AE. Morgagni hernia repair: a review. Surg Innov. 2018;25:389–99.

    Article  Google Scholar 

  11. Machado NO. Laparoscopic repair of Bochdalek diaphragmatic hernia in adults. N Am J Med Sci. 2016;8:65–74.

    Article  Google Scholar 

  12. Elfiky A, Daneshvar D, Krzyzak M, Mukherjee I. Adult onset Morgagni hernia: medical vs. surgical management. Cureus. 2019;11:e4626.

    PubMed  PubMed Central  Google Scholar 

  13. Filosso PL, Guerrera F, Sandri A, et al. Surgical management of chronic diaphragmatic hernias. J Thorac Dis. 2019;11:S177–85.

    Article  Google Scholar 

  14. Matthews BD, Bui H, Harold KL, et al. Laparoscopic repair of traumatic diaphragmatic injuries. Surg Endosc. 2003;17:254–8.

    Article  CAS  Google Scholar 

  15. Vijfhuize S, Deden AC, Costerus SA, Sloots CEJ, Wijnen RMH. Minimal access surgery for repair of congenital diaphragmatic hernia: is it advantageous?--An open review. Eur J Pediatr Surg. 2012;22:364–73.

    Article  CAS  Google Scholar 

  16. Gander JW, Fisher JC, Gross ER, et al. Early recurrence of congenital diaphragmatic hernia is higher after thoracoscopic than open repair: a single institutional study. J Pediatr Surg. 2011;46:1303–8.

    Article  Google Scholar 

  17. Nakashima S, Watanabe A, Hashimoto M, Mishina T, Obama T, Higami T. Advantages of video-assisted thoracoscopic surgery for adult congenital hernia with severe adhesion: report of two cases. Ann Thorac Cardiovasc Surg. 2011;17:185–9.

    Article  Google Scholar 

  18. Mikami S, Fukunaga T, Enomoto T, et al. Bochdalek hernia in adults: a report of two cases with a review of the Japanese literature. J St Marianna Univ. 2015;6:293–301.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, 110029, India

    Aditya Kumar, Rajinder Parshad,  Suhani & Hemanga Kumar Bhattacharjee

  2. Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India

    Raju Sharma

Authors
  1. Aditya Kumar
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  2. Rajinder Parshad
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  3. Suhani
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  4. Hemanga Kumar Bhattacharjee
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  5. Raju Sharma
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Contributions

Aditya Kumar: manuscript writing, data acquisition, literature review and analysis.

Rajinder Parshad: concept, manuscript writing and editing, approval and submission.

Suhani: manuscript editing.

Hemanga Kumar Bhattacharjee: manuscript editing.

Raju Sharma: radiology image reporting and editing.

Corresponding author

Correspondence to Rajinder Parshad.

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The authors declare that they have no conflict of interest.

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Approved from Institute Ethics Committee (Ref No. IEC-479/05.06.2020).

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Kumar, A., Parshad, R., Suhani et al. Thoracolaparoscopic repair of diaphragmatic hernias. Indian J Thorac Cardiovasc Surg 37, 558–564 (2021). https://doi.org/10.1007/s12055-021-01142-z

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  • DOI: https://doi.org/10.1007/s12055-021-01142-z

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