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Laparoscopic mesh repair of a Bochdalek diaphragmatic hernia with acute gastric volvulus in a pregnant patient.
Singapore Med J. 2008 Jan; 49(1):e26-8.SM

Abstract

The advantages of minimally invasive therapy can be utilised in the surgical disorders of pregnant patients. To our knowledge, there has not been a previous report describing laparoscopic management of diaphragmatic hernia (with mesh) in pregnancy. A 23-year-old pregnant (second trimester) woman was admitted with vomiting, epigastric pain, oliguria and dyspnoea of one month duration. Investigations revealed posterolateral diaphragmatic hernia of Bochdalek with gastric volvulus. Successful laparoscopic mesh-plasty of the diaphragmatic hernia was performed without mortality or morbidity to both mother and child. Principles of laparoscopic surgery for diaphragmatic hernias remain the same. Pregnancy poses challenges to both surgeon and anaesthetist due to changes in the physiology. Acute diseases that threaten the life of mother and child have to be dealt with urgently. We conclude that even complex laparoscopic surgery during pregnancy is feasible.

Authors+Show Affiliations

Department of Surgical Gastroenterology, GEM Hospital, 45-A Pankaja Mill Road, Ramnathapuram, Coimbatore 641045, India.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18204756

Citation

Palanivelu, C, et al. "Laparoscopic Mesh Repair of a Bochdalek Diaphragmatic Hernia With Acute Gastric Volvulus in a Pregnant Patient." Singapore Medical Journal, vol. 49, no. 1, 2008, pp. e26-8.
Palanivelu C, Rangarajan M, Maheshkumaar GS, et al. Laparoscopic mesh repair of a Bochdalek diaphragmatic hernia with acute gastric volvulus in a pregnant patient. Singapore Med J. 2008;49(1):e26-8.
Palanivelu, C., Rangarajan, M., Maheshkumaar, G. S., & Parthasarathi, R. (2008). Laparoscopic mesh repair of a Bochdalek diaphragmatic hernia with acute gastric volvulus in a pregnant patient. Singapore Medical Journal, 49(1), e26-8.
Palanivelu C, et al. Laparoscopic Mesh Repair of a Bochdalek Diaphragmatic Hernia With Acute Gastric Volvulus in a Pregnant Patient. Singapore Med J. 2008;49(1):e26-8. PubMed PMID: 18204756.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic mesh repair of a Bochdalek diaphragmatic hernia with acute gastric volvulus in a pregnant patient. AU - Palanivelu,C, AU - Rangarajan,M, AU - Maheshkumaar,G S, AU - Parthasarathi,R, PY - 2008/1/22/pubmed PY - 2008/4/4/medline PY - 2008/1/22/entrez SP - e26 EP - 8 JF - Singapore medical journal JO - Singapore Med J VL - 49 IS - 1 N2 - The advantages of minimally invasive therapy can be utilised in the surgical disorders of pregnant patients. To our knowledge, there has not been a previous report describing laparoscopic management of diaphragmatic hernia (with mesh) in pregnancy. A 23-year-old pregnant (second trimester) woman was admitted with vomiting, epigastric pain, oliguria and dyspnoea of one month duration. Investigations revealed posterolateral diaphragmatic hernia of Bochdalek with gastric volvulus. Successful laparoscopic mesh-plasty of the diaphragmatic hernia was performed without mortality or morbidity to both mother and child. Principles of laparoscopic surgery for diaphragmatic hernias remain the same. Pregnancy poses challenges to both surgeon and anaesthetist due to changes in the physiology. Acute diseases that threaten the life of mother and child have to be dealt with urgently. We conclude that even complex laparoscopic surgery during pregnancy is feasible. SN - 0037-5675 UR - https://www.unboundmedicine.com/medline/citation/18204756/Laparoscopic_mesh_repair_of_a_Bochdalek_diaphragmatic_hernia_with_acute_gastric_volvulus_in_a_pregnant_patient_ DB - PRIME DP - Unbound Medicine ER -