Surgical Management of Diaphragmatic Hernia and Eventration – a Single Centre Experience

Abstract

Background: Congenital diaphragmatic hernia is a muscular defect in diaphragm and adult presentation of the hernia is extremely rare. Diaphragmatic eventration is abnormal elevation of a portion or entire hemi-diaphragm. It is due to lack of muscle or nerve function. If left untreated, it can result in severe respiratory distress and death. Both entities can be congenital or acquired. Here we report our experience of in surgical management of diaphragmatic hernia and eventration. Objectives: Observational study on surgical management of diaphragmatic hernia and eventration. Materials and Methods: Retrospective and Prospective analysis of 15 patients who presented with either diaphragmatic hernia or eventration for a period of 3 years from June 2019 to June 2022, at our institution. Results: Total of 15 patients were included in the study, 7 had diaphragmatic hernia and 8 had diaphragmatic eventration. Average age of patients was 45.47 years, out of which 10 were male and 5 were female. All hernia was on left side except for one which was on right side and all eventration was on left side. All patient with diaphragmatic eventration had laparoscopic repair and all patients with diaphragmatic hernia underwent open repair. Average OT time for diaphragmatic hernia was 241.42 min and diaphragmatic eventration was 124.37 min. Average postoperative stay for diaphragmatic hernia was 10 days and eventration was 5 days. None of the eventration patient had any intraoperative or postoperative complications. 1 out of 7 diaphragmatic hernia patient had mortality and 1 had morbidity. Conclusion: Our study dealt with the surgical management of diaphragmatic disorders. We observed that laparoscopic repair of eventration is a favourable option. Patient with diaphragmatic hernia, usually presented in emergency and was taken up for open laparotomy and thus was found to have more mortality and morbidity. Thus early detection of diaphragmatic disorders should be done. Study is limited.