Thoracoscopic repair surgery of the diaphragm with giant lumbocostal Bochdalek hernia in an adult
https://doi.org/10.24884/0042-4625-2022-181-2-71-75
Abstract
Bochdalek hernia (HB) is a congenital defect of the diaphragm, which in the neonatal period can lead to a lifethreatening cardio-respiratory distress syndrome. Bochdalek hernias rarely unnoticed until adulthood. When diagnosing HB, a radical method of treatment is surgery, which avoids complications such as perforation and necrosis of migrated organs from the abdominal cavity. To date, standard approaches for performing surgical intervention have not been defined. Reconstruction of the diaphragm is possible from both the abdominal and thoracic cavities. This paper presents a clinical case of thoracoscopic reconstruction of giant diaphragmatic HB in the adult.
About the Authors
A. N. Lednev
National Medical Research Center of Surgery named after A.V. Vishnevsky
Russian Federation
Competing Interests:
Russian Federation
Lednev Aleksey N. - Junior Research Fellow of the Department of Thoracic Surgery
27, Bolshaya Serpukhovskaya str., Moscow, 115093
Competing Interests:
The authors declare no conflict of interest
A. A. Pechetov
National Medical Research Center of Surgery named after A.V. Vishnevsky
Russian Federation
Competing Interests:
Russian Federation
Pechetov Alexey А. - Cand. of Sci. (Med.), Head of the Department of Thoracic Surgery
27, Bolshaya Serpukhovskaya str., Moscow, 115093
Competing Interests:
The authors declare no conflict of interest
M. A. Makov
National Medical Research Center of Surgery named after A.V. Vishnevsky
Russian Federation
Competing Interests:
Russian Federation
Makov Maksim A. - Thoracic Surgeon of the Department of Thoracic Surgery
27, Bolshaya Serpukhovskaya str., Moscow, 115093
Competing Interests:
The authors declare no conflict of interest
References
1. Taskin M, Zengin K, Unal E, Eren D, Korman U. Laparoscopic repair of congenital diaphragmatic hernias. Surg Endosc. 2002; 16:869. doi: 10.1007/s004640042025.
2. Cosenza UM, Raschella GF, Giacomelli L, Scicchitano F, Simone M, Cancrini G, Zofrea P, Cancrini A. The Bochdalek hernia in the adult: case report and review of the literature. G Chir. 2004; 25:175–179
3. Puri P, Wester T. Historical aspects of congenital diaphragmatic hernia. Pediatr Surg Int. 1997; 12:95–100. doi: 10.1007/BF01349971., Mullins ME, Stein J, Saini SS, Mueller PR. Prevalence of incidental Bochdalek's hernia in a large adult population. AJR Am J Roentgenol. 2001; 177:363–366
4. Robb BW, Reed MF. Congenital diaphragmatic hernia presenting as splenic rupture in an adult. Ann Thorac Surg. 2006;81: e9–e10. doi: 10.1016/j.athoracsur.2005.11.027
5. Al-Emadi M, Helmy I, Nada MA, Al-Jaber H. Laparoscopic repair of Bochdalek hernia in an adult. Surg Laparosc Endosc Percutan Tech. 1999; 9:423–425
6. Esmer D, Alvarez-Tostado J, Alfaro A, Carmona R, Salas M. Thoracoscopic and laparoscopic repair of complicated Bochdalek hernia in adult. Hernia. 2008; 12:307–309. doi: 10.1007/s10029-007-0293-5
7. Mullins ME, Stein J, Saini SS, Mueller PR. Prevalence of incidental Bochdalek's hernia in a large adult population. AJR Am J Roentgenol. 2001; 177:363–366
8. Cuschieri RJ, Wilson WA. Incarcerated Bochdalek hernia presenting as acute pancreatitis. Br J Surg. 1981; 68:669. doi: 10.1002/bjs.1800680922.
9. Dingeldein MW, Kane D, Kim AW, Kabre R, Pescitelli MJ Jr, Holterman MJ. Bilateral intrathoracic kidneys and adrenal glands associated with posterior congenital diaphragmatic hernias. Ann Thorac Surg. 2008; 86:651–654. doi: 10.1016/j.athoracsur.2008.02.036.
10. Harrington DK, Curran FT, Morgan I, Yiu P. Congenital Bochdalek hernia presenting with acute pancreatitis in an adult. J Thorac Cardiovasc Surg. 2008; 135:1396–1397. doi: 10.1016/j.jtcvs.2008.01.038.
11. Mohammadhosseini B, Shirani S. Incarcerated Bochdalek hernia in an adult. J Coll Physicians Surg Pak. 2008; 18:239–241
12. Hung YH, Chien YH, Yan SL, Chen MF. Adult Bochdalek hernia with bowel incarceration. J Chin Med Assoc. 2008; 71:528–531. doi: 10.1016/S1726-4901(08)70162-X
13. Willemse P, Schutte PR, Plaisier PW. Thoracoscopic repair of a Bochdalek hernia in an adult. Surg Endosc. 2003; 17:162.
14. Silen ML, Canvasser DA, Kurkchubasche AG, Andrus CH, Naunheim KS. Video-assisted thoracic surgical repair of a foramen of Bochdalek hernia. Ann Thorac Surg. 1995; 60:448–450. doi: 10.1016/0003-4975(95)00100-Y
15. Parshin VD, Parshin VV, Mirzoyan OS, Stepanian A. Surgery of the diaphragm in the planned thoracic surgery. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2013;(8):7-14. (In Russ.).
Supplementary files
Review
For citations:
Lednev A.N., Pechetov A.A., Makov M.A. Thoracoscopic repair surgery of the diaphragm with giant lumbocostal Bochdalek hernia in an adult. Grekov's Bulletin of Surgery. 2022;181(2):71-75. (In Russ.) https://doi.org/10.24884/0042-4625-2022-181-2-71-75
Views:
2103
Email this article 