Repair of Chronic Post-traumatic Diaphragmatic Hernia by Laparoscopic Surgery

Authors

  • Paisal Pongchairerks Department of Surgery, Ramathibodi Hospital, Rama VI Road, Bangkok 10400, Thailand

Abstract

           Traumatic ruptures of the diaphragm can be diagnosed in the acute and chronic phases after penetrating or blunt injuries. All diaphragmatic hernias must be repaired once diagnosed. At present, laparoscopic or thoracoscopic repairs can be effective in patients who are not in serious hemodynamic conditions. Two patients who developed symptoms of gastrointestinal obstruction of short duration following a blunt and a penetrating trauma 15 months and 30 years previously were reported. The herniated structures were stomach and omentum in one patient and splenic flexure of colon and omentum in the other. Laparoscopic surgery was successful in reducing the herniated viscera, lysis of adhesion and repairing of the diaphragmatic defect using simple sutures with silk. Medium-term follow-up in one patient and long-term follow-up in the other revealed normal chest x- rays in both of them and were symptom free. Laparoscopic repair is an effective means of treatment for chronic diaphragmatic hernias.

References

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Published

2001-03-30

How to Cite

1.
Pongchairerks P. Repair of Chronic Post-traumatic Diaphragmatic Hernia by Laparoscopic Surgery. Thai J Surg [Internet]. 2001 Mar. 30 [cited 2024 Jul. 18];22(1):11-4. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243269

Issue

Vol. 22 No. 1 (2001): January - March

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.