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Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series

Bochdalek hernia (BH) is a developmental defect in the posterolateral diaphragm, allowing herniation of abdominal contents into the thorax causing mechanical compression of the thoracic viscera. This type of hernia is rare in adults, usually asymptomatic and may be diagnosed incidentally in a routin...

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Autores principales: Mariolis-Sapsakos, Theodoros, Zarokosta, Maria, Anastasiou, Nikolaos, Noussios, George, Filippou, Dimitrios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886660/
https://www.ncbi.nlm.nih.gov/pubmed/31824786
http://dx.doi.org/10.7759/cureus.6018
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author Mariolis-Sapsakos, Theodoros
Zarokosta, Maria
Anastasiou, Nikolaos
Noussios, George
Filippou, Dimitrios
author_facet Mariolis-Sapsakos, Theodoros
Zarokosta, Maria
Anastasiou, Nikolaos
Noussios, George
Filippou, Dimitrios
author_sort Mariolis-Sapsakos, Theodoros
collection PubMed
description Bochdalek hernia (BH) is a developmental defect in the posterolateral diaphragm, allowing herniation of abdominal contents into the thorax causing mechanical compression of the thoracic viscera. This type of hernia is rare in adults, usually asymptomatic and may be diagnosed incidentally in a routine chest X-ray. The aim of the present retrospective study was to highlight the standard and important anatomical structures that are crucial to safe surgical repair of BH during laparotomy and thoracotomy by the placement of mesh graft, along with a short review of the existing evidence. Records from 2005 to 2017 were reviewed to identify the patients with adult BH who underwent mesh repair through thoracotomy or laparotomy and evaluate the possible complications and results. Six patients were operated for adult BH with the above-mentioned techniques. Four underwent laparotomy and two were treated through thoracotomy. Mild fever was reported only in one patient. There was significant improvement in the symptoms of all patients and no recurrence was reported in the subsequent follow-up period. Surgical treatment is strongly indicated for both symptomatic and asymptomatic patients. Surgeons’ in-depth knowledge of the anatomy of the diaphragm will ensure better outcomes for the patients.
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spelling pubmed-68866602019-12-10 Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series Mariolis-Sapsakos, Theodoros Zarokosta, Maria Anastasiou, Nikolaos Noussios, George Filippou, Dimitrios Cureus General Surgery Bochdalek hernia (BH) is a developmental defect in the posterolateral diaphragm, allowing herniation of abdominal contents into the thorax causing mechanical compression of the thoracic viscera. This type of hernia is rare in adults, usually asymptomatic and may be diagnosed incidentally in a routine chest X-ray. The aim of the present retrospective study was to highlight the standard and important anatomical structures that are crucial to safe surgical repair of BH during laparotomy and thoracotomy by the placement of mesh graft, along with a short review of the existing evidence. Records from 2005 to 2017 were reviewed to identify the patients with adult BH who underwent mesh repair through thoracotomy or laparotomy and evaluate the possible complications and results. Six patients were operated for adult BH with the above-mentioned techniques. Four underwent laparotomy and two were treated through thoracotomy. Mild fever was reported only in one patient. There was significant improvement in the symptoms of all patients and no recurrence was reported in the subsequent follow-up period. Surgical treatment is strongly indicated for both symptomatic and asymptomatic patients. Surgeons’ in-depth knowledge of the anatomy of the diaphragm will ensure better outcomes for the patients. Cureus 2019-10-28 /pmc/articles/PMC6886660/ /pubmed/31824786 http://dx.doi.org/10.7759/cureus.6018 Text en Copyright © 2019, Mariolis-Sapsakos et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Mariolis-Sapsakos, Theodoros
Zarokosta, Maria
Anastasiou, Nikolaos
Noussios, George
Filippou, Dimitrios
Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series
title Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series
title_full Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series
title_fullStr Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series
title_full_unstemmed Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series
title_short Standard and Variable Key Anatomical Structures for Safe Surgical Repair of Bochdalek Hernia: A Rare Case Series
title_sort standard and variable key anatomical structures for safe surgical repair of bochdalek hernia: a rare case series
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886660/
https://www.ncbi.nlm.nih.gov/pubmed/31824786
http://dx.doi.org/10.7759/cureus.6018
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