Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience
Background: This study analyzed and described the clinical characteristics and surgical outcomes of diaphragmatic hernia (DH) repair according to the operative approach. Methods: After excluding cases with a combined approach and hiatal hernias, we analyzed 26 patients who underwent DH repair bet...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2023-05-01
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| Series: | Journal of Chest Surgery |
| Subjects: |
| Summary: | Background: This study analyzed and described the clinical characteristics and surgical
outcomes of diaphragmatic hernia (DH) repair according to the operative approach.
Methods: After excluding cases with a combined approach and hiatal hernias, we analyzed
26 patients who underwent DH repair between 1994 and 2018. The baseline and
perioperative characteristics of the thoracic approach group and the abdominal approach
group were described and analyzed.
Results: Fifteen of the 26 patients were treated through the thoracic approach, including
5 patients who underwent video-assisted thoracic surgery (VATS). Eleven patients underwent
the abdominal approach. The thoracic approach was associated with a longer duration
of DH than the abdominal approach (2 vs. 0.1 months), herniation of the right-sided
abdominal organs, and herniation of the retroperitoneal organs. During the median follow-
up of 23 months, there was no recurrence of DH.
Conclusion: The surgical approach should be chosen considering the duration of DH
and the location of herniated organs. VATS might be a safe and feasible option for repairing
DH. |
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| ISSN: | 2765-1606 2765-1614 |