Combined Laparoscopic and Thoracoscopic Surgical Repair of Bochdalek Hernia in an Adult: a Case Report

Overview

Journal Surg Case Rep

Specialty General Surgery

Date 2021 Sep 21

PMID 34546461

Authors

Sho Nambara

Yoshihisa Sakaguchi

Fumihiro Shoji

Yasuo Tsuda

Kensuke Kudou

Eiji Kusumoto

Kenkichi Hashimoto

Tetsuya Kusumoto

Koji Ikejiri

Affiliations

Soon will be listed here.

Abstract

Background: Bochdalek hernia is a rare disease in adults. Diaphragmatic hernia in adults has been repaired using minimally invasive surgery through laparoscopy or thoracoscopy. However, the literature regarding the combined use of laparoscopy and thoracoscopy for the repair of Bochdalek hernia is limited.

Case Presentation: A 26-year-old man diagnosed with Bochdalek hernia was managed through combined abdominal and thoracic endoscopic surgery. On laparoscopy, the omentum prolapsed into the left thoracic cavity through the posterolateral area of the left diaphragm. On thoracoscopy, no adhesions of the omentum were seen in the thoracic cavity. The omentum was drawn back to the abdominal cavity, and a 4 × 3-cm hernial orifice was identified. The hernia orifice was repaired through simple closure with sutures laparoscopically. The patient's postoperative course was uneventful with no recurrences within the first year post-surgery.

Conclusion: Combined laparoscopic and thoracoscopic surgery is a safe and effective method for Bochdalek hernial repair in adults.

Citing Articles

Traumatic Diaphragmatic Hernia Treated With Minimally Invasive Abdominal and Thoracic Approach (MATA): A Case Report and Literature Review.

Toyoda A, Murakami O, Ichihashi Y, Amagai T Cureus. 2025; 17(1):e78300.

PMID: 40026967 PMC: 11872187. DOI: 10.7759/cureus.78300.

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