Treatment of Chronic Traumatic Diaphragmatic Hernia Based on Laparoscopic Repair: Experiences From 23 Cases

Frontiers in Surgery

article

Qiaonan Liu¹  Li Luan¹  Guangyong Zhang²  Bo Li¹ 

[1] Department of Hernia and Abdominal Wall Surgery, Shandong Provincial Qianfoshan Hospital, Shandong University;Department of Gastrointestinal Surgery, Shandong Provincial Qianfoshan Hospital, Shandong University

关键词: laparoscopy;    diaphragmatic hernia;    laparotomy;    thoracotomy;    muscle flap;   

DOI  :  10.3389/fsurg.2021.706824

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: We aimed to investigate the safety and effectiveness of laparoscopic repair for treating chronic traumatic diaphragmatic hernia (CTDH). Methods: In this retrospective analysis, we included 23 cases with CTDH underwent laparoscopy in our hospital between June 2015 and October 2019 was performed. The patient characteristics were recorded. We compared the diameter of hernia ring, surgery duration, intraoperative bleeding volume, means of repairing, as well as the follow-up data. Results: All the patients underwent laparoscopic diaphragmatic hernia repair, without conversion to laparotomy or thoracotomy. The operation time ranged from 60 min to 200 min (mean, 108.04 ± 42.93 min). The blood loss volume ranged from 10 to 300 ml (mean volume, 63.48 ± 71.69 ml). The postoperative hospital stayed ranged from 5 to 15 days (mean, 6.22 ± 2.11 days). The patients were followed up for 1–50 months (mean, 17.5 ± 10.90 months). No recurrence of diaphragmatic hernia was found. Conclusions: Laparoscopic repair of CTDH is featured by fast recovery, high security, and effectiveness. Reducing the hernia contents and close of the hernia ring are crucial for the surgery that is performed based on the size and location of the diaphragmatic hernia.

【 授权许可】

CC BY