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Related Concept Videos

Hiatal Hernia01:25

Hiatal Hernia

26
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or...
26

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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[Diaphragmatic hernia complicated with diaphragmatic resection by automatic stapling device].

Kentaro Minegishi1, Tomoyuki Nakano, Tomoki Shibano

  • 1Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 9, 2014
PubMed
Summary

Diaphragmatic resection using automatic stapling devices can lead to postoperative diaphragmatic hernias. This case series suggests this technique should be avoided due to potential staple line failure and hernia formation.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology

Context:

  • Diaphragmatic lesions are sometimes resected using automatic stapling devices, particularly in video-assisted thoracoscopic surgery.
  • This approach is often employed for thymic epithelial tumors recurring on the diaphragmatic pleura.

Purpose:

  • To report two cases of diaphragmatic hernia following diaphragmatic resection with automatic stapling devices.
  • To discuss the etiology and causes of postoperative diaphragmatic hernias in this context.

Summary:

  • Two patients underwent diaphragmatic resection for recurrent thymic tumors using mechanical staplers.
  • One patient developed an asymptomatic diaphragmatic hernia, while the other required surgical repair with a patch for an advanced hernia.
  • The study highlights the risk of staple line rupture during diaphragmatic movement, leading to hernia formation.

Impact:

  • Suggests that diaphragmatic resection with automatic stapling devices may be contraindicated due to the risk of hernia formation.
  • Emphasizes the need for careful consideration of surgical techniques for diaphragmatic resection to prevent complications.