Bochdalek hernia with intrathoracic spleen treated by robotic-assisted mesh repair utilizing indocyanine green contrast media intraoperatively. A case report
| Autor: | Dimosthenis Chrysikos, Alexandros Kozadinos, Spyridon Davakis, Theodore Troupis, Panagiotis Farmakis, Ioannis Kozadinos, Georgios Georgiou |
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| Rok vydání: | 2021 |
| Předmět: |
Past medical history
medicine.medical_specialty Abdominal pain AcademicSubjects/MED00910 business.industry Case Report medicine.disease digestive system diseases Bochdalek hernia Surgery body regions chemistry.chemical_compound surgical procedures operative Surgical mesh chemistry Medicine Robotic surgery Medical history Hernia jscrep/0160 medicine.symptom business Indocyanine green |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| DOI: | 10.1093/jscr/rjab352 |
| Popis: | Bochdalek hernias are usually diagnosed in newborns. However, they can occur in adults. Few reports exist regarding robotic repair of such hernias. We present a case of a female patient with symptomatic Bochdalek hernia, including the spleen. Patient was successfully treated by robotic-assisted surgical mesh with the use of indocyanine green (ICG). An 80-year-old female patient presented with dyspnea, angina and intermittent abdominal pain. She had loss of appetite and 15-kg weight loss within 3 months. Past medical history was unremarkable. Imaging revealed a left Bochdalek hernia. The patient underwent robotic-assisted surgery; hernia contents included stomach, parts of colon, omentum and remarkably the spleen. Sac was dissected free. Patency of organs was assessed with ICG. Diaphragmatic defect was repaired with mesh. Bochdalek hernias should be surgically repaired. Minimally invasive therapy is safe and effective. Intraoperative ICG use can provide excellent results with favorable clinical outcomes. |
| Databáze: | OpenAIRE |
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