Hargrave Anna, Przeslawski Christian, Solomon Schnurr Carolyn A, Jamil Kevin
General Surgery, University of Pikeville, Kentucky College of Osteopathic Medicine, Pikeville, USA.
General Surgery, Beaumont Farmington Hills, Farmington Hills, USA.
Cureus. 2024 Aug 31;16(8):e68335. doi: 10.7759/cureus.68335. eCollection 2024 Aug.
Traumatic diaphragmatic injury is a rare condition with a significant mortality risk and may cause a herniation of an intraperitoneal organ into the pleural space. In the acute phase, traumatic diaphragmatic hernia (TDH) may be repaired with laparotomy or thoracotomy and is often associated with multiple concurrent injuries. This case report highlights a rare clinical scenario of blunt traumatic DH in a 62-year-old male with approximately seven centimeters of stomach herniating into the left pleural space, repaired with minimally invasive surgery. This was done via a transabdominal approach with robotic-assisted laparoscopic hernia repair and institution of biologic mesh and represents an important opportunity that potentially reduces the morbidity risk involved with open surgeries.
创伤性膈肌损伤是一种罕见疾病，具有较高的死亡风险，可能导致腹腔内器官疝入胸腔。在急性期，创伤性膈疝（TDH）可通过剖腹手术或开胸手术进行修复，且常伴有多种并发损伤。本病例报告重点介绍了一名62岁男性钝性创伤性膈疝的罕见临床情况，约7厘米的胃疝入左胸腔，通过微创手术进行修复。该手术通过经腹途径采用机器人辅助腹腔镜疝修补术并使用生物补片，这是一个重要的契机，有可能降低开放手术相关的发病风险。
