Intrathoracic Omental Herniation Through the Esophageal Hiatus: Report of a Case

Surgery Today ◽  
1999 ◽  
Vol 29 (4) ◽  
pp. 347-350 ◽  
Author(s):  
Naoto Kato ◽  
Hiroyuki Iwasaki ◽  
Yasushi Rino ◽  
Toshio Imada ◽  
Tomishige Amano ◽  
...  
2004 ◽  
Vol 52 (12) ◽  
pp. 580-582 ◽  
Author(s):  
Junji Yunoki ◽  
Hitoshi Ohteki ◽  
Kozo Naito ◽  
Kazuhiro Hisajima

2002 ◽  
Vol 64 (12) ◽  
pp. 1157-1159 ◽  
Author(s):  
Kokori MITSUOKA ◽  
Ryou TANAKA ◽  
Yukiko NAGASHIMA ◽  
Katsuichiro HOSHI ◽  
Hirokazu MATSUMOTO ◽  
...  

2017 ◽  
Vol 4 (3) ◽  
pp. 367-370 ◽  
Author(s):  
Koichiro Sueyoshi ◽  
Yoshiaki Inoue ◽  
Yuka Sumi ◽  
Ken Okamoto ◽  
Daisuke Azuma ◽  
...  

2005 ◽  
Vol 53 (8) ◽  
pp. 452-454 ◽  
Author(s):  
Riichiroh Maruyama ◽  
Tetsuya Miyamoto ◽  
Fumihiro Shoji ◽  
Tatsuro Okamoto ◽  
Tetsuro Miyake ◽  
...  

Surgery Today ◽  
1999 ◽  
Vol 29 (4) ◽  
pp. 347-350 ◽  
Author(s):  
Naoto Kato ◽  
Hiroyuki Iwasaki ◽  
Yasushi Rino ◽  
Toshio Imada ◽  
Tomishige Amano ◽  
...  

2020 ◽  
Vol 15 (3) ◽  
pp. 269-272
Author(s):  
Yoshikazu Tanaka ◽  
Yoshinori Saika ◽  
Yoshito Asao ◽  
Mitsuru Tanaka ◽  
Ryuji Nohara

1970 ◽  
Vol 3 (1) ◽  
pp. 27-34
Author(s):  
Lucas Tavares Dos Santos ◽  
Tânia Massini Evangelista

Introdução: A hérnia diafragmática congênita é a falha do fechamento embrionário do músculo diafragmático, resultando em um defeito de continuidade. Esta patologia pode ocorrer pela passagem de estruturas do abdome através de um defeito no diafragma, ou haver herniação parcial do estômago através do hiato esofágico, paralisia frênica com deslocamento do conteúdo abdominal para cima, mas sem herniação, e, eventração do diafragma. Casuística: Foi relatado um caso de hérnia diafragmática congênita, hérnia de Bochdalek, em um recém – nascido do sexo feminino, que nos ultra-sonografias da gestante apresentavam sem alterações. O diagnóstico da patologia foi feito apenas após a realização de raios-X de tórax e abdome para confirmar a posição do cateterismo umbilical venoso. Discussão/Conclusão: A apresentação clínica da hérnia de diafragmática congênita inclui desconforto respiratório moderado a grave com repercussão sistêmica. O diagnóstico, em cerca de 80% dos casos, é feito por ultrassom pré-natal. O tratamento proposto foi intubação endotraqueal com ventilação mecânica e programação para correção cirúrgica da hérnia. Após correção cirúrgica da patologia, a paciente permaneceu na unidade de terapia intensiva neonatal por 21 dias para acompanhamento de pós – operatório e intercorrências na evolução. Palavras-chave: hérnia diafragmática congênita, recém-nascido, hérnia de BochdalekABSTRACTIntroduction: Congenital diaphragmatic hernia is the failure of embryonic closure of the diaphragm, resulting in a lack of continuity. This condition can occur by passing structures of the abdomen through a defect in the diaphragm, or be part herniation of the stomach through the esophageal hiatus, phrenic paralysis with displacement of abdominal contents up but no herniation, and eventration of the diaphragm. Case Report: We report a case congenital diaphragmatic hernia, such as Bochdalek hernia, in a new - born female that in ultrasounds of pregnant women showed without change. The diagnosis of the disease was made only after conducting X-ray of the chest and abdomen to confirm the position of umbilical venous catheterization. Discussion/Conclusion: Clinical presentation of congenital diaphragmatic hernia includes moderate to severe respiratory distress with systemic repercussions. The diagnosis in about 80% of the cases is done by ultrasound prenatally. The proposed treatment was endotracheal intubation with mechanical ventilation and programming for surgical correction of the hernia. After surgical pathology, the patient remained in neonatal intensive care unit for 21 days to monitor post - operative complications and evolution.  Keywords: congenital diaphragmatic hernia, newborn, Bochdalek hernia 


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Yun Huang ◽  
Gang Liu ◽  
Xiumei Wang ◽  
Yan Zhang ◽  
Guijun Zou ◽  
...  

Abstract Background The incidence of adenocarcinoma of the esophagogastric junction (AEG) is rising every year; however, the mode of operation for Siewert II AEG is still controversial. Accumulating evidence has shown that transabdominal surgery is better than transthoracic surgery for Siewert II AEG with esophageal invasion < 3 cm. In patients with obesity, a large tumor size, and high transection of the esophagus, the transabdominal esophageal hiatus approach for lower mediastinal lymph node dissection and posterior mediastinal anastomosis is difficult. Thus, total laparoscopic radical resection of Siewert II AEG is carried out through the left diaphragm and left chest auxiliary hole for the optimal surgical field of vision and space. In this prospective study, we assessed the feasibility of carrying out the procedure abdominally through the left diaphragm and auxiliary hole. Methods Ten patients with Siewert II AEG were recruited between April and June 2019. Siewert II AEG was treated by total laparoscopy through the left diaphragm and left chest auxiliary hole. Clinicopathological features, surgical data, and adverse events were collected and analyzed in this prospective study. Results The average duration of the operation was 348 ± 37.52 min, lower mediastinal dissection took 20.6 min, the OrVil anastomosis time was 29.8 min, the time necessary to suture the seromuscular layer through the left thoracic auxiliary hole was 11 min, the safety margin was 3.2 cm, and the total number of lymph nodes dissected was 40.6. The number of lower mediastinal lymph nodes dissected was 6.2. The rate of lymph node metastasis in the N110 group was 9 ± 12.45%, and the average intraoperative blood loss was 170 ± 57.47 mL. No anastomotic leakage or anastomotic stricture occurred after the operation. The time of intestinal function recovery was 2 days, and the first time of enteral nutrition through a jejunal nutrition tube was 2.4 days. No tumor recurrence was found in 10 patients at 1 year postoperatively. Conclusion Total laparoscopic radical resection through the left diaphragm and left thoracic auxiliary hole for Siewert II AEG patients is feasible and safe. Thus, it may be a good surgical alternative for patients with esophageal tumors invading less than 3 cm. Trial registration ChiCTR, ChiCTR2000034286. Registered 8 July 2020, http://www.chictr.org.cn/showproj.aspx?proj=55866.


Author(s):  
Naime Altinkaya ◽  
Zafer Koc ◽  
Ozlem Alkan ◽  
Demir Senay
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