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Surgical Endoscopy
Published in: Surgical Endoscopy 9/2003

01-09-2003 | Case report

Laparoscopic treatment of Bochdalek hernia without the use of a mesh

Authors: L. Brusciano, G. Izzo, V. Maffettone, G. Rossetti, A. Renzi, V. Napolitano, G. Russo, A. Del Genio

Published in: Surgical Endoscopy | Issue 9/2003

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Abstract

Bochdalek hernia is a rare pathology. The preoperative diagnosis is difficult, and few reports are available regarding its treatment. Herein we report the case of a 25-year-old woman referred for symptoms of dyspepsia, dysphagia, and thoracic pain exacerbated by pregnancy. Preoperative radiography, EGD, and CT scan revealed a paraesophageal hiatal hernia. Laparoscopic exploration showed the complete thoracic migration of the stomach through a left posterolateral diaphragmatic foramen. The diagnosis of a Bochdalek hernia was then made. The diaphragmatic defect was repaired without inserting a prosthesis, using five separate non-reabsorbable stitches (Rieder technique). The procedure was completed with a Nissen-Rossetti fundoplication. The duration of the procedure was 150 min. Hospital stay was 12 days. There were no complications. Postoperative Gastrografin radiography of the esophagus and stomach showed a normal-shaped fundoplication and confirmed the subdiaphragmatic location of the stomach. We conclude that the laparoscopic approach represents the gold standard for the diagnosis and treatment of Bochdalek hernia and any associated complications.
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Metadata
Title
Laparoscopic treatment of Bochdalek hernia without the use of a mesh
Authors
L. Brusciano
G. Izzo
V. Maffettone
G. Rossetti
A. Renzi
V. Napolitano
G. Russo
A. Del Genio
Publication date
01-09-2003
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 9/2003
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-002-4288-0

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