Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report

Bochdalek hernia is a congenital defect of the diaphragm that usually presents in the neonatal period with life-threatening cardiorespiratory distress. It is rare for Bochdalek hernias to remain silent until adulthood. A 57-year-old woman presented with history of difficulty in swallowing, as well a...

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Main Authors: Pravin Hector John, John Thanakumar, Arunkumar Krishnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Minimal Access Surgery
Subjects:
Online Access:http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=4;spage=158;epage=160;aulast=John
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author Pravin Hector John
John Thanakumar
Arunkumar Krishnan
author_facet Pravin Hector John
John Thanakumar
Arunkumar Krishnan
author_sort Pravin Hector John
collection DOAJ
description Bochdalek hernia is a congenital defect of the diaphragm that usually presents in the neonatal period with life-threatening cardiorespiratory distress. It is rare for Bochdalek hernias to remain silent until adulthood. A 57-year-old woman presented with history of difficulty in swallowing, as well as retching. There was no history of abdominal or thoracic trauma. A chest x-ray showed the herniated stomach clearly. Computed tomography (CT) of the abdomen showed a herniated volvulus of the stomach, along with left posterolateral diaphragmatic hernia. The defect was repaired by a single incision laparoscopic technique. We present the first case of a posterolateral diaphragmatic hernia repaired by a reduced port laparoscopic technique in an adult, after an extensive literature search yielded no precedents. This report validates the feasibility of reduced port laparoscopic repair of Bochdalek hernia in an adult, and should be within the remit of the advanced laparoscopic surgeon.
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spelling doaj.art-b588869de5834f62ba426711281c38ce2022-12-22T00:01:40ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212012-01-018415816010.4103/0972-9941.103131Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first reportPravin Hector JohnJohn ThanakumarArunkumar KrishnanBochdalek hernia is a congenital defect of the diaphragm that usually presents in the neonatal period with life-threatening cardiorespiratory distress. It is rare for Bochdalek hernias to remain silent until adulthood. A 57-year-old woman presented with history of difficulty in swallowing, as well as retching. There was no history of abdominal or thoracic trauma. A chest x-ray showed the herniated stomach clearly. Computed tomography (CT) of the abdomen showed a herniated volvulus of the stomach, along with left posterolateral diaphragmatic hernia. The defect was repaired by a single incision laparoscopic technique. We present the first case of a posterolateral diaphragmatic hernia repaired by a reduced port laparoscopic technique in an adult, after an extensive literature search yielded no precedents. This report validates the feasibility of reduced port laparoscopic repair of Bochdalek hernia in an adult, and should be within the remit of the advanced laparoscopic surgeon.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=4;spage=158;epage=160;aulast=JohnAdultBochdalek herniareduced port laparoscopic surgery
spellingShingle Pravin Hector John
John Thanakumar
Arunkumar Krishnan
Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report
Journal of Minimal Access Surgery
Adult
Bochdalek hernia
reduced port laparoscopic surgery
title Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report
title_full Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report
title_fullStr Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report
title_full_unstemmed Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report
title_short Reduced port laparoscopic repair of Bochdalek hernia in an adult: A first report
title_sort reduced port laparoscopic repair of bochdalek hernia in an adult a first report
topic Adult
Bochdalek hernia
reduced port laparoscopic surgery
url http://www.journalofmas.com/article.asp?issn=0972-9941;year=2012;volume=8;issue=4;spage=158;epage=160;aulast=John
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AT johnthanakumar reducedportlaparoscopicrepairofbochdalekherniainanadultafirstreport
AT arunkumarkrishnan reducedportlaparoscopicrepairofbochdalekherniainanadultafirstreport