title: Chronic diaphragmatic hernia.
abstract: Chronic diaphragmatic hernia is a rare entity and requires surgical intervention when it is diagnosed. We report three patients with chronic diaphragmatic hernia that followed a diagnosis of diaphragmatic abnormality with no previous chest injury. Operative findings suggested a diaphragmatic defect in a congenitally weak area. All patients were satisfied with the resolution of their preoperative discomfort and their improved respiratory function after repair using Marlex mesh sheets via thoracotomy and laparotomy. Chronic diaphragmatic hernia should be considered even in patients who had no previous chest injury.
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical School, Omiya Medical Center, 1-847 Amanuma, Omiya-ku, Saitama 330-8503, Japan. tcvshun@jichi.ac.jp
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Endo
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Tsubochi
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Nakano
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Koyama
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Sohara
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography