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: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic & Cardiovascular Surgery
2023-05-01
|
| Series: | Journal of Chest Surgery |
| Subjects: |
| _version_ | 1797833594942521344 |
|---|---|
| author | Siwon Oh Suk Kyung Lim Jong Ho Cho Hong Kwan Kim Yong Soo Choi Jhingook Kim Young Mog Shim Junghee Lee |
| author_facet | Siwon Oh Suk Kyung Lim Jong Ho Cho Hong Kwan Kim Yong Soo Choi Jhingook Kim Young Mog Shim Junghee Lee |
| author_sort | Siwon Oh |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T14:26:43Z |
| format | Article |
| id | doaj.art-fde8c4956dd3417a98f17ddfeaa4167e |
| institution | Directory Open Access Journal |
| issn | 2765-1606 2765-1614 |
| language | English |
| last_indexed | 2024-04-09T14:26:43Z |
| publishDate | 2023-05-01 |
| publisher | Korean Society for Thoracic & Cardiovascular Surgery |
| record_format | Article |
| series | Journal of Chest Surgery |
| spelling | doaj.art-fde8c4956dd3417a98f17ddfeaa4167e2023-05-04T05:08:11ZengKorean Society for Thoracic & Cardiovascular SurgeryJournal of Chest Surgery2765-16062765-16142023-05-0156317117610.5090/jcs.22.129Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional ExperienceSiwon Oh0https://orcid.org/0000-0002-0906-0208Suk Kyung Lim1https://orcid.org/0000-0002-2049-3709Jong Ho Cho2https://orcid.org/0000-0003-3362-4621Hong Kwan Kim3https://orcid.org/0000-0002-7815-3336Yong Soo Choi4https://orcid.org/0000-0001-8492-7644Jhingook Kim5https://orcid.org/0000-0002-3828-0453Young Mog Shim6https://orcid.org/0000-0001-5924-9765Junghee Lee7https://orcid.org/0000-0002-5070-8248Sungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineSungkyunkwan University School of MedicineBackground: 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.diaphragmherniaabdominal organsurgeryvideo-assisted thoracic surgery |
| spellingShingle | Siwon Oh Suk Kyung Lim Jong Ho Cho Hong Kwan Kim Yong Soo Choi Jhingook Kim Young Mog Shim Junghee Lee Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience Journal of Chest Surgery diaphragm hernia abdominal organ surgery video-assisted thoracic surgery |
| title | Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience |
| title_full | Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience |
| title_fullStr | Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience |
| title_full_unstemmed | Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience |
| title_short | Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience |
| title_sort | surgery for diaphragmatic hernia repair a longitudinal single institutional experience |
| topic | diaphragm hernia abdominal organ surgery video-assisted thoracic surgery |
| work_keys_str_mv | AT siwonoh surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT sukkyunglim surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT jonghocho surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT hongkwankim surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT yongsoochoi surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT jhingookkim surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT youngmogshim surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience AT jungheelee surgeryfordiaphragmaticherniarepairalongitudinalsingleinstitutionalexperience |