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- Title
Surgical technique and complications during laparoscopic repair of diaphragmatic hernias.
- Authors
Dapri, G.; Himpens, J.; Hainaux, B.; Roman, A.; Stevens, E.; Capelluto, E.; Germay, O.; Cadière, G. B.; Cadière, G B
- Abstract
Diaphragmatic hernias can present as retrocostoxiphoid hernias (RCXH) or diaphragmatic dome hernias. The RCXH include the Larrey hernia (LH), the Morgagni hernia (MH), and the Larrey-Morgagni hernia (LMH). These congenital hernias are usually asymptomatic, and the diagnosis is simplified by two exams: chest X-ray, and thoraco-abdominal computed tomography (CT) scan. The potential risk in this condition is small-bowel incarceration in the hernia defect and subsequent obstruction. We report two cases of LH and one case of LMH treated by laparoscopy between February 2004 and October 2005, with a review of the surgical techniques. Two different laparoscopic techniques were used: the tension-free technique, and resection of the hernia sac with closure of the defect and reinforcement by prosthesis. One patient presented a postoperative cardiac tamponade due to a clip-induced bleeding of an epicardial artery at the inferior surface of the heart. Treatment by laparoscopy is feasible, but a consensus regarding the best laparoscopic repair is needed.
- Subjects
HERNIA surgery; OPERATIVE surgery; LAPAROSCOPIC surgery; LAPAROSCOPY complications; HEART diseases; PLASTIC surgery
- Publication
Hernia, 2007, Vol 11, Issue 2, p179
- ISSN
1265-4906
- Publication type
journal article
- DOI
10.1007/s10029-006-0161-8