Amlish B Gondal, MD, Matthew E Mobily, MD, MPH, Mahsaw Motlagh, BA, Iman Ghaderi, MD, MSc, MHPE. University of Arizona
In this video, we present a case of concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair. The patient is a 36-year-old male with morbid obesity (BMI 44.8 kg/m2, and weight of 316 lb) with multiple comorbidities. He was scheduled for robotic assisted sleeve gastrectomy after he completed a comprehensive preoperative work up and medical weight loss. The barium swallow showed a small hiatal hernia and incidental gastric diverticulum. Upper endoscopy did not show any abnormalities. During the operation, we identified a left diaphragmatic hernia as well as a small hiatal hernia. We performed standard sleeve gastrectomy, primary repair of hiatal hernia. The diaphragmatic hernia was repaired and it was reinforced with absorbable mesh. There was no intraoperative complications. He was discharged home on postoperative day 2.
Congenital diaphragmatic hernias are rare. Our routine preoperative workup did not identify the above hernia. Robotic assisted sleeve gastrectomy with concurrent repair of congenital diaphragmatic hernia and hiatal hernia is feasible and safe.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95818
Program Number: V066
Presentation Session: Exhibit Hall Theater Video Session II
Presentation Type: EHVideo