Laparoscopic surgical management and outcomes of diaphragmatic hernia after diaphragmatic rupture
10.3760/cma.j.cn113855-20250222-00100
- VernacularTitle:膈肌破裂后膈疝的腹腔镜手术修复策略及疗效观察
- Author:
Yiping LI
1
;
Enmin HUANG
;
Ning MA
;
Zehui HOU
;
Shuang CHEN
;
Taicheng ZHOU
Author Information
1. 中山大学附属第六医院普通外科（疝和腹壁外科），广州 510655
- Publication Type:Journal Article
- Keywords:
Herniorrhaphy;
Hernia,diaphragmatic,traumatic;
Laparoscopic diaphragmatic hernia repair
- From:
Chinese Journal of General Surgery
2025;40(9):691-695
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical diagnosis and laparoscopic surgical management of diaphragmatic rupture.Methods:Clinical data of 19 patients diagnosed with diaphragmatic hernia secondary to diaphragmatic rupture, admitted to the Sixth Affiliated Hospital of Sun Yat-sen University from Jan 2022 to Sep 2024 was retrospectively analyzed.Results:There were 7 males and 12 females. Traumatic etiology was confirmed in 9 cases, all developed after closed injuries, including one vehicular accident, seven blunt traumas, and one fall from height. Iatrogenic factors accounted for the remaining 10 cases. Left-sided diaphragmatic hernias were observed in 13 patients, while right-sided hernias occurred in 6 patients. Hiatal hernias were complicated in 5 patients. All patients underwent elective laparoscopic tension-free repair using composite patch for defect closure. Postoperatively, one patient was readmitted into ICU due to reexpansion pulmonary edema but was subsequently discharged following recovery. The median postoperative hospital stay was 10 days.Conclusions:The incidence of diaphragmatic rupture is relatively uncommon, primarily occurring as a result of traumatic or iatrogenic injuries. Early diagnosis coupled with prompt laparoscopic surgical intervention has proven to be effective in managing this condition.
