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A combined laparoscopic and endoscopic approach to acute gastric volvulus associated with traumatic diaphragmatic hernia.
Surg Laparosc Endosc Percutan Tech. 2008 Apr; 18(2):151-4.SL

Abstract

PURPOSE

The purpose of the article was to describe a comprehensive approach to laparoscopic repair of acute intrathoracic gastric volvulus in acquired diaphragmatic hernia.

BACKGROUND

Traumatic diaphragmatic hernias are observed in 10% of diaphragmatic injuries, which include blunt trauma, penetrating trauma, and iatrogenic injuries. It is of utmost importance because of its high morbidity and mortality. Minimally invasive approaches are considered to be safe and effective procedures. They also provide rapid recovery from the operation, avoid the morbidity of laparotomy, and allow rapid recovery of gastric function.

METHOD

From June 2002 to June 2006, we encountered 4 cases of acquired diaphragmatic hernia with acute gastric volvulus, which were successfully treated with laparoscopic reduction, detorsion, repair of diaphragmatic hernial defect, and percutaneous endoscopic gastropexy.

RESULTS

There were no operative complications. All 4 patients tolerated the procedure well and the patients were discharged 1 to 3 days after the operation. After 1 to 2 years of follow-up, there were no radiologic recurrences of the volvulus and all patients remained asymptomatic.

CONCLUSIONS

Laparoscopic surgery represents a safe and acceptable approach in the treatment of acute gastric volvulus through the abdominal approach with minimal morbidity and good outcome.

Authors+Show Affiliations

Department of Surgery, Jordan University of Science and Technology, King Abdullah University Hospital, Irbid, Jordan. mohbanihani@hotmail.com

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18427332

Citation

Hani, Mohammed Bani. "A Combined Laparoscopic and Endoscopic Approach to Acute Gastric Volvulus Associated With Traumatic Diaphragmatic Hernia." Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, vol. 18, no. 2, 2008, pp. 151-4.
Hani MB. A combined laparoscopic and endoscopic approach to acute gastric volvulus associated with traumatic diaphragmatic hernia. Surg Laparosc Endosc Percutan Tech. 2008;18(2):151-4.
Hani, M. B. (2008). A combined laparoscopic and endoscopic approach to acute gastric volvulus associated with traumatic diaphragmatic hernia. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 18(2), 151-4. https://doi.org/10.1097/SLE.0b013e3181659221
Hani MB. A Combined Laparoscopic and Endoscopic Approach to Acute Gastric Volvulus Associated With Traumatic Diaphragmatic Hernia. Surg Laparosc Endosc Percutan Tech. 2008;18(2):151-4. PubMed PMID: 18427332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A combined laparoscopic and endoscopic approach to acute gastric volvulus associated with traumatic diaphragmatic hernia. A1 - Hani,Mohammed Bani, PY - 2008/4/23/pubmed PY - 2008/7/30/medline PY - 2008/4/23/entrez SP - 151 EP - 4 JF - Surgical laparoscopy, endoscopy & percutaneous techniques JO - Surg Laparosc Endosc Percutan Tech VL - 18 IS - 2 N2 - PURPOSE: The purpose of the article was to describe a comprehensive approach to laparoscopic repair of acute intrathoracic gastric volvulus in acquired diaphragmatic hernia. BACKGROUND: Traumatic diaphragmatic hernias are observed in 10% of diaphragmatic injuries, which include blunt trauma, penetrating trauma, and iatrogenic injuries. It is of utmost importance because of its high morbidity and mortality. Minimally invasive approaches are considered to be safe and effective procedures. They also provide rapid recovery from the operation, avoid the morbidity of laparotomy, and allow rapid recovery of gastric function. METHOD: From June 2002 to June 2006, we encountered 4 cases of acquired diaphragmatic hernia with acute gastric volvulus, which were successfully treated with laparoscopic reduction, detorsion, repair of diaphragmatic hernial defect, and percutaneous endoscopic gastropexy. RESULTS: There were no operative complications. All 4 patients tolerated the procedure well and the patients were discharged 1 to 3 days after the operation. After 1 to 2 years of follow-up, there were no radiologic recurrences of the volvulus and all patients remained asymptomatic. CONCLUSIONS: Laparoscopic surgery represents a safe and acceptable approach in the treatment of acute gastric volvulus through the abdominal approach with minimal morbidity and good outcome. SN - 1530-4515 UR - https://www.unboundmedicine.com/medline/citation/18427332/A_combined_laparoscopic_and_endoscopic_approach_to_acute_gastric_volvulus_associated_with_traumatic_diaphragmatic_hernia_ L2 - http://dx.doi.org/10.1097/SLE.0b013e3181659221 DB - PRIME DP - Unbound Medicine ER -