title: A novel technique for repairing a large diaphragmatic defect with no costal attachments.
abstract: Chronically ruptured diaphragms are difficult to diagnose. Often they are asymptomatic but convey a high risk for incarceration, and therefore surgical repair is mandatory. In the following case report, we present an abnormal 10×12 cm diaphragmatic defect whereby there was no anterior edge to the defect. This posed a challenge as to how to repair. We present a novel technique that facilitates sound solution through a thoracotomy approach.
authors.affiliation: Department of Cardiothoracics, Royal Victoria Hospital, Belfast, UK. atuc@hotmail.com
authors.forename: Adam
authors.initials: A
authors.lastname: Tucker
authors.forename: Harry
authors.initials: H
authors.lastname: Parissis
mesh_terms: D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging* / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed