Laparoscopic Repair of Giant Bochdalek Hernia in Adults.
BACKGROUND
Bochdalek hernia is a congenital diaphragmatic defect that results from improper fusion of the septum transversum and the pleuroperitoneal folds. It rarely persists asymptomatic until adulthood. The reported incidence is as low as 0.17%. Surgical repair of the defect can be performed through the abdomen or through the chest, and in both cases open or through laparoscopy/thoracoscopy.


METHODS
We present 2 cases of fully laparoscopic repair of giant Bochdalek hernia in adults. In both cases we used a GORE®DUALMESH®and we had neither complications nor recurrence. It is worthy of mention that hernia sac was not found in any of the cases. This has been described as a distinct characteristic that confirms diagnosis.


CONCLUSIONS
Bochdalek hernia in the adult is a rare entity that requires surgical treatment to avoid complications. CT scan of the abdomen and chest with oral and IV contrast is the gold standard for diagnosis.
1 Hospital Privado Universitario de Córdoba , Córdoba, Argentina .
Federico
F
Moser
1 Hospital Privado Universitario de Córdoba , Córdoba, Argentina .
Franco José
FJ
Signorini
1 Hospital Privado Universitario de Córdoba , Córdoba, Argentina .
Pablo Sergio
PS
Maldonado
2 Programa Unidades Bariatricas , Buenos Aires, Argentina .
Veronica
V
Gorodner
1 Hospital Privado Universitario de Córdoba , Córdoba, Argentina .
Arturo Lopez
AL
Sivilat
1 Hospital Privado Universitario de Córdoba , Córdoba, Argentina .
Lucio Ricardo
LR
Obeide
D000328:Adult; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
Bochdalek; adults; diafragmatic hernia; giant; laparoscopic