Diaphragmatic Hernia after Thoracoabdominal Trauma - Laparoscopic Surgical Repair with Mesh

Traumatic diaphragmatic hernia (TDH) is an uncommon disease, with incidence of about 0.5% and usually associated penetrating or blunt thoracoabdominal trauma (1). It often other thoracoabdominal, brain musculoskeletal injuries, being a diagnostic therapeutic challenge (2). These injuries worsen the prognosis, mortality up to 31% (2, 3). Chest X-rays bowel contrast studies CT scans chest abdomen are useful tool for detecting TDH, latter more specific (4). The treatment involves repair defect without mesh, using transthoracic and/or transabdominal approach recurrence can occur due primary tension-free suture, incorrect attachment mesh necessary overlap failure in host-prosthesis interface (5). Hanna WC et al. demonstrated that may also be related use absorbable suture close aim this video illustrate key steps surgical technique recurrent through laparoscopic approach. We present 20-year-old male history hereditary hyperferritinemia hypertension. In 2019, car accident, he suffered multiple traumas including rib fractures, descending aortic dissection, hemothorax, hemoperitoneum, laceration migration stomach intrathoracic position. patient underwent thoracotomy, replacing aorta isthmus graft, diaphragm defect, drainage. Later, complications, was hospitalized post-pericardiotomy syndrome – Dressler's - pericardial pleural effusion. He had 2021, initially small asymptomatic, later increasing size becoming symptomatic. thoraco-