Page 52 - World Journal of Laparoscopic Surgery

Laparoscopic Diaphragmatic Repair
Average hospital stay was 3.8 days (3 to 5 days), consistent with 7. Christiansen LA, Blichert-Toft M, Bertelsen S. Strangulated
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6
Saroj et al. who quoted a hospital stay of 4 days and Phillips et al. diaphragmatic hernia. A clinical study. Am J Surg 1975;129(5):
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None of our cases had any postoperative morbidity or 8. Al-Emadi M, Ismail H, Nada MA, et al. Laparoscopic repair of Bochdalek
hernia in an adult. Surg Laparos Endos 1999;9(6):423–425.
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recurrence, consistent with Phillips et al. who quoted modest 9. Goh BKP, Teo MCC, Chng S-P, et al. Rightsided Bochdalek’s hernia in
postoperative morbidity and recurrence rates similar to open. an adult. Am J Surg 2007;194(3):390–391.
Laparoscopic diaphragmatic hernia repair is increasingly being 10. Swain JM, Klaus A, Achem SR, et al. Congenital diaphragmatic hernia
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reported to have better short-term postoperative outcomes and in adults,. Semin Laparosc Surg 2001;8(4):246–255.
a recurrence rate similar to the open approach. 14 11. Rice GD, O’Boyle CJ, Watson DI, et al. Laparoscopic repair of Bochdalek
hernia in an adult. ANZ J Surg 2001;71(7):443–445.
conclusIon 12. Palanivelu C, Rangarajan M, Rajapandian S, et al. Laparoscopic repair
Laparoscopic diaphragmatic hernia repair is an feasible, acceptable, of adult diaphragmatic hernias and eventration with primary sutured
closure and prosthetic reinforcement: a retrospective study. Surg
affordable, superior, and safe alternative to open repair with better Endosc 2009;23:978–985. DOI: 10.1007/s00464-008-0294-1.
short-term postoperative outcomes and a recurrence rate similar 13. Mullins ME, Saini S. Imaging of incidental Bochdalek hernia. Semin
to the open approach. Ultrasound CT MR 2005;26:28–36.
With regard to the controversies in diaphragmatic hernia 14. Thoman DS, Hui T, Phillips EH. Laparoscopic diaphragmatic hernia
management, at our center, we (1) excise thinned out diaphragm or repair. Surg Endosc 2002;16:1345–1349. DOI: 10.1007/s00464-001-
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hernia sac only when feasible and safe; (2) close the defect, without 15. Kitano Y, Lally KP, Lally PA. Congenital diaphragmatic hernia study
tension on the diaphragm, with barbed, continuous PDS sutures group: late-presenting congenital diaphragmatic hernia. J Pediatr
and interrupted ethibond sutures, wherever appropriate; (3) mesh Surg 2005;40:1839–1843.
reinforcement done in all cases of hernia and eventration, unless 16. Campos LI, Sipes EK. Laparoscopic repair of diaphragmatic hernia.
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50 World Journal of Laparoscopic Surgery, Volume 13 Issue 1 (January–April 2020)