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Pericardiodiaphragmatic hernia

A J Larrieu, I Wiener, R Alexander

    American Journal of Surgery
    |March 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Pericardial diaphragmatic hernia, often traumatic, affects mostly males around 40. The anterior abdominal approach is preferred for surgical repair, leading to good prognoses.

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    Area of Science:

    • Medical Case Review
    • Surgical Outcomes

    Background:

    • Pericardial diaphragmatic hernia (PDH) is a rare condition.
    • It can be congenital or traumatic, with trauma being more common.

    Purpose of the Study:

    • To review reported cases of PDH and present an additional case.
    • To analyze the etiology, clinical presentation, diagnostic methods, and surgical management of PDH.

    Main Methods:

    • Review of 27 previously reported cases and analysis of one new case.
    • Evaluation of diagnostic modalities including pneumoperitoneum, chest roentgenograms, and contrast studies.
    • Assessment of surgical approaches: anterior abdominal vs. transthoracic.

    Main Results:

    • The study included 28 patients (27 reviewed, 1 new), predominantly male (27/28), with a mean age of 40 years.

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  • Traumatic PDH was more frequent (2:1 ratio). Common symptoms involved cardiac and respiratory systems.
  • Stomach and transverse colon were the most frequently herniated organs. A sac was present in only three cases.

    • Conclusions:

    • The anterior abdominal approach offers superior exposure and accessibility for PDH repair compared to the transthoracic approach.
    • Primary repair of the diaphragmatic defect typically results in a favorable prognosis.