Laparoscopically assisted diaphragmatic hernia repair with mesh and a myocutaneous flap after left ventricular assist device explantation: A case report

Author:

Kawabata Kota1,Takahashi Tsuyoshi1ORCID,Funaki Soichiro2,Maeda Daisuke3,Nakajima Kiyokazu1,Kurokawa Yukinori1,Yamamoto Kazuyoshi1,Saito Takuro1,Momose Kota1,Yamashita Kotaro1,Tanaka Koji1,Makino Tomoki1,Kubo Tateki3,Shintani Yasushi2,Eguchi Hidetoshi1,Doki Yuichiro1

Affiliation:

1. Department of Gastroenterological Surgery Osaka University Graduate School of Medicine Suita Japan

2. Department of General Thoracic Surgery Osaka University Graduate School of Medicine Suita Japan

3. Department of Plastic Surgery Osaka University Graduate School of Medicine Suita Japan

Abstract

AbstractWe report the case of a 32‐year‐old man who developed a giant diaphragmatic hernia following the removal of a left ventricular assist device 4 years prior due to improved cardiac function. Chest radiography revealed an intrathoracic prolapse of the gastrointestinal tract. The patient was diagnosed with a diaphragmatic hernia and a laparoscopy‐assisted repair was performed. A 12 × 8 cm hernia was found intraoperatively on the left diaphragm, and a large portion of the gastrointestinal tract had prolapsed into the thoracic cavity. We attempted to repair the ventromedial defect using mesh; however, it was found to be insufficient. Therefore, we used a left rectus abdominis myocutaneous flap to fill the defect and sutured it to the mesh. A myocutaneous flap could be a useful strategy in cases where complete closure with mesh is difficult.

Publisher

Wiley

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