Giant right post-traumatic diaphragmatic hernia: laparoscopic repair without a mesh.
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.
Rossetti
Gianluca
G
I Division of General and Gastrointestinal Surgery, Second University of Naples, Naples.
Brusciano
Luigi
L
Maffettone
Vincenzo
V
Napolitano
Vincenzo
V
Sciaudone
Guido
G
Del Genio
Gianmattia
G
Russo
Gianluca
G
Del Genio
Alberto
A
D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D006548:Hernia, Diaphragmatic / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013526:Surgical Mesh