Repair of a non hiatal giant Diaphragmatic hernia – Dual Approach

Salman K Alsabah, MD, MBA, FRCSC, Ahmed AlMulla, MD, FACS, Derar AlShehab, MD, FRCSC

Al Amiri Hospital Kuwait

This video presents the case of an emergency case of an 18 year old male complaining of epigastric pain, vomiting, and dyspnea. Radiographic imaging shows herniation of the stomach, most of the small and large bowel, spleen, and pancreas through a diaphragmatic defect in the left chest. Laparoscopically, we demonstrate an organoaxial gastric volvulus and reduction of the hernia content. After we repaired the defect through the abdomen, we performed a thoracoscopy, due to the difficulty of loss of domain and uncertainty of complete closure of the diaphragm with non absorbable mesh. We then discovered that the kidney herniated to the chest, therefore a thoracotomy was done to reduce the kidney and repair the diaphragm defect.

Session: Video ChannelDay 2

Program Number: V068

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