Laura M Adams, MD, Sharon L Bachman, MD. INOVA Fairfax Hospital
This video reports on the unusual case of the development of an iatrogenic diaphragmatic hernia after a hand-assisted splenectomy for a symptomatic calcified splenic hematoma, which measured 9x10cm. A 2cm diaphragmatic defect occurred during the initial operation at the dense cyst adhesions to the diaphragm and was primarily repaired. The patient presented 7 months later with an incarcerated diaphragmatic hernia containing the superior stomach. This was repaired laparoscopically with first a primary closure followed by incisional reinforcement with a light-weight absorbable barrier mesh.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88338
Program Number: V241
Presentation Session: Thursday Video Loop (Non CME)
Presentation Type: VideoLoop