Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia

Traumatic diaphragmatic hernia (TDH) is an uncommon surgical problem, and diagnosis is often delayed. However, the mortality from bowel necrosis can reach 80%. Therefore, suspicion is needed and surgery is required to prevent complications. A 50-year-old man was transferred due to abdominal pain and...

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Main Author: Yeseob Jee
Format: Article
Language:English
Published: Termedia Publishing House 2017-03-01
Series:Videosurgery and Other Miniinvasive Techniques
Subjects:
Online Access:https://www.termedia.pl/Laparoscopic-diaphragmatic-hernia-repair-using-expanded-polytetrafluoroethylene-ePTFE-for-delayed-traumatic-diaphragmatic-hernia,42,29595,1,1.html
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author Yeseob Jee
author_facet Yeseob Jee
author_sort Yeseob Jee
collection DOAJ
description Traumatic diaphragmatic hernia (TDH) is an uncommon surgical problem, and diagnosis is often delayed. However, the mortality from bowel necrosis can reach 80%. Therefore, suspicion is needed and surgery is required to prevent complications. A 50-year-old man was transferred due to abdominal pain and vomiting. Chest X-ray and computed tomography (CT) scan showed herniation of the stomach through the left diaphragm. The patient had fallen down 15 months ago and CT scan at that time revealed a small defect of the diaphragm without herniation. We diagnosed delayed herniation of TDH and the patient underwent laparoscopic repair using an expanded polytetrafluoroethylene (ePTFE) mesh. Recovery was uneventful and the CT scan at 3 months after the operation showed no recurrence. We reported a delayed presenting TDH and considered a laparoscopic approach to be safe and feasible during elective surgery. Moreover, use of an ePTFE mesh for repair of large diaphragmatic hernia was also feasible.
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spelling doaj.art-66aa5295fde14db9af9867d00216d7c82022-12-22T03:30:12ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542017-03-0112218919310.5114/wiitm.2017.6637329595Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic herniaYeseob JeeTraumatic diaphragmatic hernia (TDH) is an uncommon surgical problem, and diagnosis is often delayed. However, the mortality from bowel necrosis can reach 80%. Therefore, suspicion is needed and surgery is required to prevent complications. A 50-year-old man was transferred due to abdominal pain and vomiting. Chest X-ray and computed tomography (CT) scan showed herniation of the stomach through the left diaphragm. The patient had fallen down 15 months ago and CT scan at that time revealed a small defect of the diaphragm without herniation. We diagnosed delayed herniation of TDH and the patient underwent laparoscopic repair using an expanded polytetrafluoroethylene (ePTFE) mesh. Recovery was uneventful and the CT scan at 3 months after the operation showed no recurrence. We reported a delayed presenting TDH and considered a laparoscopic approach to be safe and feasible during elective surgery. Moreover, use of an ePTFE mesh for repair of large diaphragmatic hernia was also feasible.https://www.termedia.pl/Laparoscopic-diaphragmatic-hernia-repair-using-expanded-polytetrafluoroethylene-ePTFE-for-delayed-traumatic-diaphragmatic-hernia,42,29595,1,1.html<i>hernia laparoscopic diaphragm expanded polytetrafluoroethylene</i>
spellingShingle Yeseob Jee
Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia
Videosurgery and Other Miniinvasive Techniques
<i>hernia
laparoscopic
diaphragm
expanded polytetrafluoroethylene</i>
title Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia
title_full Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia
title_fullStr Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia
title_full_unstemmed Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia
title_short Laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene (ePTFE) for delayed traumatic diaphragmatic hernia
title_sort laparoscopic diaphragmatic hernia repair using expanded polytetrafluoroethylene eptfe for delayed traumatic diaphragmatic hernia
topic <i>hernia
laparoscopic
diaphragm
expanded polytetrafluoroethylene</i>
url https://www.termedia.pl/Laparoscopic-diaphragmatic-hernia-repair-using-expanded-polytetrafluoroethylene-ePTFE-for-delayed-traumatic-diaphragmatic-hernia,42,29595,1,1.html
work_keys_str_mv AT yeseobjee laparoscopicdiaphragmaticherniarepairusingexpandedpolytetrafluoroethyleneeptfefordelayedtraumaticdiaphragmatichernia