Diagnosis and treatment of adult diaphragmatic hernia
10.3760/cma.j.cn115610-20220725-00424
- VernacularTitle:成人膈疝的诊断与治疗策略
- Author:
Shangeng WENG
1
;
Yiping CHEN
;
Xiang ZHANG
Author Information
1. 福建医科大学附属第一医院肝胆胰、疝外科，福建省腹部外科研究所，福州 350005
- Keywords:
Hernia;
Diaphragmatic hernia;
Adult;
Diagnosis;
Treatment
- From:
Chinese Journal of Digestive Surgery
2022;21(9):1185-1190
- CountryChina
- Language:Chinese
-
Abstract:
The etiology of diaphragmatic hernia in adults is mainly congenital and traumatic, its overall incidence in adults is low, and adult diaphragmatic hernia is easily misdiagnosed and missed diagnosis because of lacking specificity in clinical presentation. There is no clinical guidelines or consensus for the diagnosis and treatment of diaphragmatic hernia in adults. The authors inquire into the diagnosis and treatment of diaphragmatic hernia in adults by summarizing relevant litera-tures and combining with clinical practice, and recommend that multi-slice spiral computed tomo-graphy should be promptly refined for suspected cases, especially focusing on sagittal images. The symptomatic patients should be repaired promptly, with a preference for laparoscopic surgery, and mesh augmentation is recommended in those with larger defects.
