title: Giant right post-traumatic diaphragmatic hernia: laparoscopic repair without a mesh.
abstract: Diaphragmatic ruptures are fairly frequent after thoraco-abdominal traumas (0.8-5%). In 90% of cases, they are left-sided. In the literature, very few cases are treated by laparoscopy. The aim of this study was to evaluate the feasibility and effectiveness of laparoscopic repair of a giant right post-traumatic diaphragmatic hernia without the use of a mesh. We present the case of a 28-year-old male operated by the laparoscopic approach for a giant right post-traumatic diaphragmatic hernia, diagnosed 18 months after the trauma. Surgical repair was carried out by means of 10 non-absorbable interrupted stitches, without the use of a mesh. The duration of the operation was 145 minutes. The patient was discharged 3 days after the surgical procedure, and no complications occurred. After a 40-month follow-up, the patient is asymptomatic and healthy. Laparoscopic repair of post-traumatic diaphragmatic hernias without the use of a mesh is safe and effective and affords an early postoperative recovery.
authors.affiliation: I Division of General and Gastrointestinal Surgery, Second University of Naples, Naples.
authors.forename: Gianluca
authors.initials: G
authors.lastname: Rossetti
authors.forename: Luigi
authors.initials: L
authors.lastname: Brusciano
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Maffettone
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Napolitano
authors.forename: Guido
authors.initials: G
authors.lastname: Sciaudone
authors.forename: Gianmattia
authors.initials: G
authors.lastname: Del Genio
authors.forename: Gianluca
authors.initials: G
authors.lastname: Russo
authors.forename: Alberto
authors.initials: A
authors.lastname: Del Genio
mesh_terms: D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D006548:Hernia, Diaphragmatic / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013526:Surgical Mesh