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Many referee reports suffer from being either too long or too short, too detailed or not detailed enough. Ville Sallinen, Editor-in-Chief of BJS Open describes how to construct the perfect referee report in this video.
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Bibliographic reference:
Complicated Diaphragmatic Hernia in Emergency Surgery: Systematic Review of the Literature. Gennaro Perrone World J Surg. 2020 Dec;44(12):4012-4031.
Laparoscopic repair of a post-traumatic diaphragmatic rupture
Laparoscopic repair of acute diaphragmatic rupture: a stepwise approach
Surgical treatment of a pulmonary hydatid cyst: video-assisted thoracoscopic surgery (VATS) cystotomy with capitonnage
Discussion: A diaphragmatic hernia is the incursion of abdominal contents into the thoracic cavity through a defect in the diaphragm. Congenital diaphragmatic hernias are rare, occurring in 1 in 3,000 live births, and usually occur early in life (1). Surgical repair is the definitive treatment for diaphragmatic hernia and involves reducing herniated organs into the abdominal cavity and repairing the diaphragmatic defect (1) using primary repair, primary repair with mesh reinforcement, or only mesh interposition techniques (2).
Given the uncommon and heterogeneous nature of the disease, there is no consensus in the literature regarding the optimal timing and approach for the surgical intervention (3). Nevertheless, the thoracic approach has emerged as an acceptable surgical strategy, usually performed with video-assisted thoracic surgery (VATS) (1). Obata et al. conclude that the thoracoscopic approach may be better for the repair of late congenital diaphragmatic hernia (4). Most particularly, in right-sided diaphragmatic hernia, the thoracic approach offers better access since, in the abdominal approach, access to the herniated organ becomes difficult due to the liver on the right side (1).
Take-home message:
Patients with a diaphragmatic hernia with liver content can be treated via a primary repair of the diaphragmatic hernia. The surgery was performed with a thoracoscopic approach due to the safety and optimal results of the surgical technique.
Bibliography:
1. Oh S, Lim SK, Cho JH, et al. Surgery for Diaphragmatic Hernia Repair: A Longitudinal Single-Institutional Experience. J Chest Surg. 2023;56(3):171-176. doi:10.5090/jcs.22.129
2. Fernández-Moreno MC, Barrios Carvajal ME, López Mozos F, Garcés Albir M, Martí Obiol R, Ortega J. When laparoscopic repair is feasible for diaphragmatic hernia in adults? A retrospective study and literature review. Surg Endosc. 2022;36(5):3347-3355. doi:10.1007/s00464-021-08651-3
3. Jones EK, Andrade R, Bhargava A, Diaz-Gutierrez I, Rao M. Surgical management of delayed-presentation diaphragm hernia: A single-institution experience. JTCVS Tech. 2022;13(C):263-269. doi:10.1016/j.xjtc.2022.04.012
4. Obata S, Souzaki R, Fukuta A, et al. Which Is the Better Approach for Late-Presenting Congenital Diaphragmatic Hernia: Laparoscopic or Thoracoscopic? A Single Institution’s Experience of more than 10 Years. J Laparoendosc Adv Surg Tech. 2020;30(9):1029-1035. doi:10.1089/lap.2019.0162
Dislocation of a liver segment due to a right diaphragmatic hernia: thoracoscopic primary repair
Sublobar resections for early-stage lung cancer: managing oncological issues
IRCAD News
Renji University Hospital delegation visits IRCAD
Last week, we had the honor of welcoming a delegation from Renji University Hospital. They had the chance to delve into the IRCAD concept and explore our facilities. Thank you to: – Mr Yumin Pan, General Consul of China – Pr Qiang XIA, President of Renji Hospital – Pr Weiping LI, Former President of Renji […]World virtual university
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