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Laparoscopic extra-abdominal suturing technique for the repair of Larrey ’ s diaphragmatic hernia using the port closure needle (Endo Close ® ): A case report

View Article: PubMed Central - PubMed

ABSTRACT

Larrey’s diaphragmatic hernia is relatively uncommon.

It is difficult to suture the hernial orifice laparoscopically.

Extra-abdominal suturing technique using Endo Close® may be useful in terms of secure suture and easy tying.

Extra-abdominal suturing technique using Endo Close® may be useful in terms of secure suture and easy tying.

No MeSH data available.


(A) Chest radiograph showing colonic gas above the left diaphragm in the left middle and lower lung zones. (B) Chest computed tomography scan showing the transverse colon, greater omentum, and stomach incarcerated in the left pleural cavity.
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fig0005: (A) Chest radiograph showing colonic gas above the left diaphragm in the left middle and lower lung zones. (B) Chest computed tomography scan showing the transverse colon, greater omentum, and stomach incarcerated in the left pleural cavity.

Mentions: An 89-year-old woman complaining of vomiting was transferred to our hospital. She had no other associated symptoms, no past surgical history, and no traumatic rupture of the diaphragm. She was in a good general condition, and clinical examination was unremarkable. No abnormalities were detected in the laboratory investigations. Chest radiography (Fig. 1A) and computed tomography (Fig. 1B) scan showed Larrey’s diaphragmatic hernia. Hernial contents were transverse colon and stomach, and they showed no ischemic changes. A few days after computed tomography and gastric decompression, the contrast medium passed slowly to the small intestine due to gastric decompression. Vomiting occurred because of incarceration of the stomach in the left pleural cavity, and was unresponsive to conservative therapy. Therefore, laparoscopic repair was planned.


Laparoscopic extra-abdominal suturing technique for the repair of Larrey ’ s diaphragmatic hernia using the port closure needle (Endo Close ® ): A case report
(A) Chest radiograph showing colonic gas above the left diaphragm in the left middle and lower lung zones. (B) Chest computed tomography scan showing the transverse colon, greater omentum, and stomach incarcerated in the left pleural cavity.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5037122&req=5

fig0005: (A) Chest radiograph showing colonic gas above the left diaphragm in the left middle and lower lung zones. (B) Chest computed tomography scan showing the transverse colon, greater omentum, and stomach incarcerated in the left pleural cavity.
Mentions: An 89-year-old woman complaining of vomiting was transferred to our hospital. She had no other associated symptoms, no past surgical history, and no traumatic rupture of the diaphragm. She was in a good general condition, and clinical examination was unremarkable. No abnormalities were detected in the laboratory investigations. Chest radiography (Fig. 1A) and computed tomography (Fig. 1B) scan showed Larrey’s diaphragmatic hernia. Hernial contents were transverse colon and stomach, and they showed no ischemic changes. A few days after computed tomography and gastric decompression, the contrast medium passed slowly to the small intestine due to gastric decompression. Vomiting occurred because of incarceration of the stomach in the left pleural cavity, and was unresponsive to conservative therapy. Therefore, laparoscopic repair was planned.

View Article: PubMed Central - PubMed

ABSTRACT

Larrey’s diaphragmatic hernia is relatively uncommon.

It is difficult to suture the hernial orifice laparoscopically.

Extra-abdominal suturing technique using Endo Close® may be useful in terms of secure suture and easy tying.

Extra-abdominal suturing technique using Endo Close® may be useful in terms of secure suture and easy tying.

No MeSH data available.