Naslov
Laparoscopic repair of traumatic strangulated diaphragmatic hernia.

Autori
Latić, Ferid ; Samardžić, Josip ; Miškić, Đuro ; Kraljik, Darko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Asian Journal of Endoscopic Surgery 2009 ; 2(3) / - , 2009, A91-A91

Skup
11th World Congress of Endoscopic Surgery

Mjesto i datum
Yokohama, Japan, 02.09.2008. - 05.09.2008

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Diaphragmatic hernia ; laparoscopy

Sažetak
A patient was admitted to our hospital with symptoms of vomitting, abdominal pain and respiratory dispnea. He had injuri in the car crash six month ago. We immediately preformed chest roentgenogram which confirmed prevously suspected strangulated diaphragmatic hernia. Hernia contained of stomach, colon, major omentum and spleen in left hemitorax which were compressing left lung. Diagnosis was confirmed by CT scan. After creating pneumoperitoneum, abdominal cavity was explored. We repositioned major omentum, colon and stomach through the diaphragmatic defect. Spleen was tightly fixed in toracal cavity and its reposition was not possible to achieve and we were forced to performe spleenectomy. The diaphragmatic defcet was repaired with interrupted sutures and toracal and abdominal cavity were drainaged. The postoperative course was uneventfull. Control CT scans of toracal cavity showed complete reexpansion of the left lung. We did not register any postoperative complications. Laparoscopic treatment of diaphragmatic hernia is save and reliable operative approach that can be performed in emergancy cases with complicated clinical condition because of all its well known advantages.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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