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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
[Diaphragmatic hernia]
Liliana Osmak1, Patrick Cougard
1Service de chirurgie viscérale et endocrinienne, Hôpital général, 21033 Dijon. lilianaosmak@yahoo.com
Insights
Diaphragmatic hernias involve abdominal contents moving into the chest through the diaphragm. Both congenital and trauma-related hernias require surgical intervention, with video surgery increasingly utilized.
Area of Science:
- Medical Science
- Surgical Innovation
Context:
- Diaphragmatic hernias are anatomical defects allowing abdominal organs into the chest.
- Congenital hernias are rare, often detected neonatally, while adult cases are frequently incidental findings.
Purpose:
- To outline the nature, diagnosis, and management of diaphragmatic hernias.
- To highlight the surgical necessity due to risks like volvulus and trauma.
Summary:
- Diaphragmatic hernias present with digestive or respiratory symptoms.
- Ruptures from trauma necessitate emergency surgery, though diagnosis delays can postpone intervention.
- Video-assisted surgery is a growing treatment modality for diaphragmatic hernias.
Impact:
- Improved understanding of diaphragmatic hernia presentation and urgency.
- Increased adoption of minimally invasive techniques like videosurgery.
- Timely surgical management reduces complications such as volvulus.
Abstract:
A diaphragmatic hernia is the protrusion of abdominal contents into the thoracic cavity, via a hole in the diaphragm, which either presence or size is abnormal. Congenital hernias are rare and often diagnosed at birth. Adults are diagnosed accidentally. Symptoms can be digestive or respiratory, and the risk of volvulus calls for surgery. Diaphragmatic ruptures are seen more often, and are a consequence of violent thoraco-abdominal trauma, or penetrating wound. They should be treated surgically in emergency, but the operation can be delayed if they are not diagnosed at once. Videosurgery has been used more and more often recently to treat diaphragmatic hernias.
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