Laparoscopic repair of Bochdalek hernia with intrathoracic kidney and concomitant redo-redo incisional hernia

被引:0
|
作者
Vacharathit, Voranaddha [1 ]
Tanangterapong, Padet [2 ]
Panumatrassamee, Kamol [3 ]
Manasnayakorn, Sopark [1 ]
机构
[1] Chulalongkorn Univ, King Chulalongkorn Mem Hosp, Fac Med, Dept Surg, Bangkok, Thailand
[2] Chulalongkorn Univ, King Chulalongkorn Mem Hosp, Fac Med, Dept Surg,Div Cardiothorac Surg, Bangkok, Thailand
[3] Chulalongkorn Univ, King Chulalongkorn Mem Hosp, Fac Med, Dept Surg,Div Urol, Bangkok, Thailand
关键词
Surgery; Cardiothoracic surgery; Gastrointestinal surgery; General surgery; Urological surgery; CONGENITAL DIAPHRAGMATIC-HERNIA;
D O I
10.1136/bcr-2024-261527
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Bochdalek hernias (BHs), though rare, are the most common congenital diaphragmatic hernias. Their coexistence with an ectopic intrathoracic kidney (IK), found in 0.25% of cases, is even rarer. Most IKs function normally; however, other than reported cases of BH-related obstruction, incarceration and strangulation, kidney-specific complications such as infection, obstruction and stone formation can occur. We present a patient presenting with a BH-IK in the setting of a symptomatic, multiply recurrent incisional hernia. Although there is no consensus on the best BH-IK repair technique, we propose that complete reduction and laparoscopic primary repair with mesh reinforcement using an intraperitoneal onlay mesh-plus technique are safe and feasible.
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页数:4
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