Abstract
BackgroundBochdalek hernia is a rare disease in adults. Diaphragmatic hernia in adults has been repaired using minimally invasive surgery through laparoscopy or thoracoscopy. However, the literature regarding the combined use of laparoscopy and thoracoscopy for the repair of Bochdalek hernia is limited.Case presentationA 26-year-old man diagnosed with Bochdalek hernia was managed through combined abdominal and thoracic endoscopic surgery. On laparoscopy, the omentum prolapsed into the left thoracic cavity through the posterolateral area of the left diaphragm. On thoracoscopy, no adhesions of the omentum were seen in the thoracic cavity. The omentum was drawn back to the abdominal cavity, and a 4 × 3-cm hernial orifice was identified. The hernia orifice was repaired through simple closure with sutures laparoscopically. The patient’s postoperative course was uneventful with no recurrences within the first year post-surgery.ConclusionCombined laparoscopic and thoracoscopic surgery is a safe and effective method for Bochdalek hernial repair in adults.
Highlights
Bochdalek hernia is a rare disease in adults
*Correspondence: nanbara36@gmail.com 1 Department of Gastroenterological Surgery and Clinical Research Institute Cancer Research Division, National Kyushu Medical Center, 1‐8‐1 Jigyouhama Chuo‐ku, Fukuoka 810‐8563, Japan Full list of author information is available at the end of the article laparotomy, thoracotomy, or a combination of these) may be selected
The omentum prolapsed into the left thoracic cavity through the hernial orifice at the dorsolateral diaphragm (Fig. 2b)
Summary
Bochdalek hernia is a rare disease in adults. Diaphragmatic hernia in adults has been repaired using minimally invasive surgery through laparoscopy or thoracoscopy. Conclusion: Combined laparoscopic and thoracoscopic surgery is a safe and effective method for Bochdalek hernial repair in adults. Surgical repair of the hernial orifice is the definitive treatment for diaphragmatic hernia.
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