LAPAROSCOPIC HAND ASSISTED MANAGEMENT OF A LARGE DIAPHRAGMATIC INCARCERATED HERNIA
Jeanne Beirnaert, *Dr. Sorin Cimpean, David Lipski, Gloire À. Dieu Byabene, Mattia Bez, Marie Therese Marechal, Benjamin Cadiere
ABSTRACT
Introduction: Diaphragmatic post-traumatic injuries are frequently missed and the clinical manifestation can be delayed. Case presentation: We present a case of a patient with a left large diaphragmatic incarcerated hernia, 4 years after a blunt trauma, for which we performed a laparoscopic hand-assisted approach. Discussions: Post traumatic diaphragmatic hernias are more frequent in left diaphragm, and often concern the stomach and the colon. Clinical presentation is usually delayed, and diagnosis can be difficult. Surgical technique is controversial; it depends on surgeon skill and nature of the lesion. Conclusion: Diaphragmatic hernia must be suspected in front of every thoracic traumatism. Laparoscopic hand-assisted approach is a feasible technique in case of difficult hernia reduction.
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