Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Khushboo N Kadakia, MBBS1, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Shekhar A Jadhav, MS, FMAS1, Amarjeet E Tandur, MS1, Priyanka Saha, MBBS1, Soumya Chatnalkar, MBBS1, Jai Rathore, MBBS1, Shivang Shukla, MBBS1, Sunita R Gajbhiye, MBBS, MD Associate Professor2. 1Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India, 2Govt. Medical College, Nagpur,Maharashtra,India
Introduction: Congenital diaphragmatic hernia typically presents in childhood but its presentation in adults is an extremely rare entity. Surgery is indicated for all types of diaphragmatic hernia. In recent years, there has been a shift from open surgical repair to laparoscopic approach. With our study, we aim to establish that diaphragmatic hernia repair by laparoscopic approach is safe, feasible and effective method with minimal intra operative and post-operative complications and decreased post-operative hospital stay .
Materials and Methods: We did a retrospective study of 8 patients with diaphragmatic hernia, operated between March 2010 to October 2016. All patients with age 15 and above were considered as adults and included in the study. One patient had Morgagni hernia and the remaining patients had Bochdalek hernia. Patients presented most commonly with symptoms of abdominal pain, nausea, vomiting, respiratory distress. Patients were diagnosed with diaphragmatic hernia based on CT imaging. All patients were managed laparoscopically with no conversion to open. The contents of the hernia were reduced with harmonic scalpel, defect closed with polypropelene continues sutures and a composite mesh was placed over the sutured defect and fixed with tackers. All patients had an uneventful recovery and were asymptomatic at year of follow up.
Conclusion: Congenital diaphragmatic hernia is an uncommon presentation in adults. Thus laparoscopic approach is safe, feasible and effective method for diaphragmatic hernia repair in adults with minimal morbidity and mortality.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94398
Program Number: P596
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster