Hand-Assisted Thoracoscopic Repair of a Bochdalek Hernia in an Adult

2006 ◽  
Vol 16 (1) ◽  
pp. 54-58 ◽  
Author(s):  
Albeir Mousa ◽  
Michael Sanusi ◽  
Robert C. Lowery ◽  
Mark H. Genovesi ◽  
Joshua H. Burack
Keyword(s):  
Bochdalek Hernia ◽  
Thoracoscopic Repair

Thoracoscopic repair of a Bochdalek hernia in an adult

2003 ◽  
Vol -1 (1) ◽  
pp. 1-1 ◽  
Author(s):  
P. Willemse ◽  
P.R. Schütte ◽  
P.W. Plaisier
Keyword(s):  
Bochdalek Hernia ◽  
Thoracoscopic Repair

scholarly journals Robot-assisted thoracoscopic repair of a late-onset Bochdalek hernia: a case report

2018 ◽  
Author(s):  
Mario Lima ◽  
Niel Di Salvo ◽  
Sara Ugolini ◽  
Michele Libri ◽  
Giovanni Ruggeri
Keyword(s):  
Late Onset ◽  
Surgical Approaches ◽  
Indications For Surgery ◽  
Bochdalek Hernia ◽  
Major Malformation ◽  
Significant Morbidity ◽  
Robotic Technology ◽  
Robot Assisted ◽  
Thoracoscopic Repair ◽  
Thoracoscopic Procedure

Bochdalek hernia (BH) is a major malformation that consists of a postero-lateral diaphragmatic defect through which abdominal contents can migrate into the thorax. It is most commonly a neonatal pathology associated with significant morbidity and mortality. Rarely, this type of congenital diaphragmatic hernia (CDH) presents later in life, some even in adulthood. Indications for surgery are not clear even though the majority of authors, being aware of the possible severe complications, recommend surgical correction in all cases. Many surgical approaches have been tried for this pathology, both open (laparotomic or thoracotomic) and minimally invasive (laparoscopic or thoracoscopic). We report a case of a late-onset BH corrected with a robot-assisted thoracoscopic procedure. The use of robotic technology for CDH has never been described to date.

scholarly journals Thoracoscopic Repair of a Bochdalek Hernia in the Prone Position—Report of an Adult Case—

2014 ◽  
Vol 75 (11) ◽  
pp. 3006-3009
Author(s):  
Daisuke KANAMORI ◽  
Toshihiko SHINOHARA ◽  
Akihiko FUJITA ◽  
Yujiro TANAKA ◽  
Saori YATABE ◽  
...  
Keyword(s):  
Prone Position ◽  
Bochdalek Hernia ◽  
Adult Case ◽  
Thoracoscopic Repair

scholarly journals Complete thoracoscopic repair of an adult Bochdalek hernia: A case report

2016 ◽  
Vol 30 (5) ◽  
pp. 603-607
Author(s):  
Takaaki Matsuyama ◽  
Yoshinobu Hattori ◽  
Daisuke Tochii
Keyword(s):  
Case Report ◽  
Bochdalek Hernia ◽  
Thoracoscopic Repair

scholarly journals Robotic-Assisted Thoracoscopic Repair of Right-Sided Bochdalek Hernia in Adults: A Two-Case Series

2019 ◽  
Vol 14 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Lucas M. Hunter ◽  
Anthony B. Mozer ◽  
Carlos J. Anciano ◽  
Aundrea L. Oliver ◽  
Mark D. Iannettoni ◽  
...  
Keyword(s):  
Case Series ◽  
Bochdalek Hernia ◽  
Port Placement ◽  
Transthoracic Approach ◽  
Invasive Approach ◽  
Repair Strategy ◽  
Repair Technique ◽  
Thoracoscopic Repair ◽  
Dissection Technique ◽  
Rare Hernia

Bochdalek hernia is a congenital diaphragmatic hernia that presents rarely in adulthood. Because of the paucity of cases, no standard repair technique has been identified. Here we present two cases of robotic, thoracoscopic repair of this rare hernia defect. Two separate adult patients with right-sided abdominal pain presented to the emergency department for evaluation. Both patients were diagnosed with right-sided Bochdalek hernia and repair was undertaken with a robotic, transthoracic approach. Repair technique is described in detail, including port placement, dissection technique, and repair strategy. Advantages of the robotic, transthoracic approach are discussed in detail. A transthoracic minimally invasive approach using a robotic platform is noted to be both feasible and practical in the treatment of adult Bochdalek hernia.

Hérnia Diafragmática Congênita: Relato de Caso/ Congenital Diaphragmatic Hernia: Case Report

1970 ◽  
Vol 3 (1) ◽  
pp. 27-34
Author(s):  
Lucas Tavares Dos Santos ◽  
Tânia Massini Evangelista
Keyword(s):  
Case Report ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Neonatal Intensive Care ◽  
Esophageal Hiatus ◽  
Bochdalek Hernia ◽  
Severe Respiratory Distress ◽  
X Ray ◽  
Venous Catheterization ◽  
Terapia Intensiva

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 

scholarly journals Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review

2021 ◽  
Vol 07 (03) ◽  
pp. e124-e126
Author(s):  
Mark Portelli ◽  
Mark Bugeja ◽  
Charles Cini
Keyword(s):  
Computed Tomography ◽  
Young Adult ◽  
Rare Case ◽  
Surgical Repair ◽  
Bochdalek Hernia ◽  
Case Presentation ◽  
Atypical Case ◽  
Accident And Emergency ◽  
History Of ◽  
Accident And Emergency Department

Abstract Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect. Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh. Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.

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