Diaphragm
Diaphragmatic defects involving the central tendon are uncommon and may present diagnostic uncertainty, particularly when identified incidentally on imaging. Surgical management can be technically challenging due to attenuated tissue quality and close proximity to vital...
This video demonstrates the implantation of bilateral phrenic nerve pacing leads using a robotic subxiphoid approach without lung isolation. This approach was utilized because the patient presented with central hypoventilation...
In this panel discussion, surgeons Leanne Ashrafian and Andrea Bille, both consultant thoracic surgeons in the Department of Thoracic Surgery at Guy’s St Thomas’ NHS Foundation Trust, join Ammara Watkins,...
Diaphragmatic defects involving the central tendon are uncommon and may present diagnostic uncertainty, particularly when identified incidentally on imaging. Surgical management can be technically challenging due to attenuated tissue quality...
The patient in this case is a sixty-year-old woman with increasing shortness of breath, especially in a horizontal position. She was diagnosed with right-sided diaphragmatic paralysis. Surgeons suspected trauma or...
This video demonstrates a technique for laparoscopic repair of a Morgagni hernia, with and without excision of the sac. Two cases are shown.
...Laparoscopic diaphragmatic plication is a safe and effective operation in carefully selected patients. Laparoscopic diaphragm plication was first reported by Hüttl et al in three patients (1). The authors’ previously...
Diaphragm plication provides symptomatic palliation to patients who suffer from unilateral paralysis due to a variety of etiologies. Multiple approaches have been described, and include open and minimally invasive techniques...
This video demonstrates a laparoscopic repair of symptomatic left-side Bochdalek hernia in a 20-year-old female. The patient presented with chronic intermittent constipation, nausea, and emesis. A CT scan revealed the...
This video documents the author’s technique for robotic diaphragm plication. The robot is docked below the patient. Ten horizontal mattress sutures are placed in the chest under CO2. A 4-port...
This prospective observational study followed 111 patients for 3 years after laparoscopic repair of a type III paraesophageal hernia. QOL improved at all postoperative time intervals from 28.5 preop to...
This video demonstrates a VATS repair of a symptomatic adult congenital right Bochdalek hernia and plication of the diaphragm. A 41-year-old female patient presented with worsening shortness of breath and...
This study investigated repair methods for large hiatal hernias randomized to suture only vs absorbable mesh vs nonabsorbable mesh. The design was randomized, double blind. At 12 mos the recurrence...









