Tags

Type your tag names separated by a space and hit enter

Laparoscopic treatment of Bochdalek hernia without the use of a mesh.
Surg Endosc. 2003 Sep; 17(9):1497-8.SE

Abstract

Bochdalek hernia is a rare pathology. The preoperative diagnosis is difficult, and few reports are available regarding its treatment. Herein we report the case of a 25-year-old woman referred for symptoms of dyspepsia, dysphagia, and thoracic pain exacerbated by pregnancy. Preoperative radiography, EGD, and CT scan revealed a paraesophageal hiatal hernia. Laparoscopic exploration showed the complete thoracic migration of the stomach through a left posterolateral diaphragmatic foramen. The diagnosis of a Bochdalek hernia was then made. The diaphragmatic defect was repaired without inserting a prosthesis, using five separate non-reabsorbable stitches (Rieder technique). The procedure was completed with a Nissen-Rossetti fundoplication. The duration of the procedure was 150 min. Hospital stay was 12 days. There were no complications. Postoperative Gastrografin radiography of the esophagus and stomach showed a normal-shaped fundoplication and confirmed the subdiaphragmatic location of the stomach. We conclude that the laparoscopic approach represents the gold standard for the diagnosis and treatment of Bochdalek hernia and any associated complications.

Authors+Show Affiliations

First Department of General and Gastrointestinal Surgery, School of Medicine, Second University of Naples, Via Pansini 5, 80127 Naples, Italy. luigibrusciano@tin.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

12739127

Citation

Brusciano, L, et al. "Laparoscopic Treatment of Bochdalek Hernia Without the Use of a Mesh." Surgical Endoscopy, vol. 17, no. 9, 2003, pp. 1497-8.
Brusciano L, Izzo G, Maffettone V, et al. Laparoscopic treatment of Bochdalek hernia without the use of a mesh. Surg Endosc. 2003;17(9):1497-8.
Brusciano, L., Izzo, G., Maffettone, V., Rossetti, G., Renzi, A., Napolitano, V., Russo, G., & Del Genio, A. (2003). Laparoscopic treatment of Bochdalek hernia without the use of a mesh. Surgical Endoscopy, 17(9), 1497-8.
Brusciano L, et al. Laparoscopic Treatment of Bochdalek Hernia Without the Use of a Mesh. Surg Endosc. 2003;17(9):1497-8. PubMed PMID: 12739127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic treatment of Bochdalek hernia without the use of a mesh. AU - Brusciano,L, AU - Izzo,G, AU - Maffettone,V, AU - Rossetti,G, AU - Renzi,A, AU - Napolitano,V, AU - Russo,G, AU - Del Genio,A, Y1 - 2003/06/19/ PY - 2002/12/02/received PY - 2002/12/20/accepted PY - 2003/5/10/pubmed PY - 2004/5/5/medline PY - 2003/5/10/entrez SP - 1497 EP - 8 JF - Surgical endoscopy JO - Surg Endosc VL - 17 IS - 9 N2 - Bochdalek hernia is a rare pathology. The preoperative diagnosis is difficult, and few reports are available regarding its treatment. Herein we report the case of a 25-year-old woman referred for symptoms of dyspepsia, dysphagia, and thoracic pain exacerbated by pregnancy. Preoperative radiography, EGD, and CT scan revealed a paraesophageal hiatal hernia. Laparoscopic exploration showed the complete thoracic migration of the stomach through a left posterolateral diaphragmatic foramen. The diagnosis of a Bochdalek hernia was then made. The diaphragmatic defect was repaired without inserting a prosthesis, using five separate non-reabsorbable stitches (Rieder technique). The procedure was completed with a Nissen-Rossetti fundoplication. The duration of the procedure was 150 min. Hospital stay was 12 days. There were no complications. Postoperative Gastrografin radiography of the esophagus and stomach showed a normal-shaped fundoplication and confirmed the subdiaphragmatic location of the stomach. We conclude that the laparoscopic approach represents the gold standard for the diagnosis and treatment of Bochdalek hernia and any associated complications. SN - 1432-2218 UR - https://www.unboundmedicine.com/medline/citation/12739127/Laparoscopic_treatment_of_Bochdalek_hernia_without_the_use_of_a_mesh_ L2 - https://doi.org/10.1007/s00464-002-4288-0 DB - PRIME DP - Unbound Medicine ER -