Page 51 - World Journal of Laparoscopic Surgery

Laparoscopic Diaphragmatic Repair

Figs 5A to D: Intraoperative image of Bochdalek hernia: (A) Defect; (B) Sac dissected; (C) After repair; (D) After mesh placement

Figs 6A and B: Intraoperative image of diaphragmatic tear: (A) Before repair; (B) After repair
Table 1: Patient characteristics and data
Postoperative Postoperative
Diagnosis Age/sex ICD OT time pain score Hospital stay complications
1 Left traumatic diaph. 38/M + 120 minutes 4 4 days Nil
rupture
2 Left diaph. eventration 39/M − 105 minutes 3 3 days Nil
3 Left diaph. eventration 35/M + 120 minutes 2 3 days Nil
4 Right Morgagni hernia 76/F + 90 minutes 3 5 days Nil
5 Left Bochdalek hernia 29/F + 90 minutes 2 4 days Nil
Avg. 43.4 years 4/5 105 minutes 2.8 3.8 Nil

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features of obstruction. Sharma et al. reported that 60% cases had size is small. Approximately 38% of cases is misdiagnosed as
SOB and 40% had abdomen pain. pneumothorax, empyema, lung cyst, or pleural effusion, if CT scan
In the current study, average age was 43.4 years. Three of five is not done. 21,22
cases were males. For four of the five cases it was on the right side, In three of four hernia cases, neck of the hernia was wide and
consistent with Saroj et al. whose average age was 36 years, M:F = sac could be excised with ease (except in the case of Morgagni
11:2 and Lt:Rt = 12:1. hernia, the mesh was placed in four of five cases (except in traumatic
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All cases were evaluated with CECT abdomen, which is the rupture), ICD in 4 of 5 cases, consistent with Palanivelu et al. who
most accepted imaging modality, particularly when the defect quoted 85.7% meshplasty and 14 of 21 cases.

World Journal of Laparoscopic Surgery, Volume 13 Issue 1 (January–April 2020) 49