Laparoscopic repair of giant left Bochdalek hernia in adults: resolution of 2 cases
Epublication WebSurg.com, Apr 2018;18(04). URL: http://websurg.com/doi/vd01en5233
A Bochdalek hernia is a congenital diaphragmatic defect which results from the improper fusion of the septum transversum and of the pleuroperitoneal folds. It rarely persists asymptomatically until adulthood. The reported incidence is as low as 0.17%. Surgical repair of the defect can be performed through the abdomen or through the chest, and in both cases, using open surgery or laparoscopy/thoracoscopy. We present two cases of fully laparoscopic repair of a giant Bochdalek hernia in adults. In both cases, we used a GORE® DUALMESH® biomaterial and we had no complications and no recurrence. It is worth mentioning that the hernia sac was not found in any of the cases. This has been described as a distinct characteristic, which confirms the diagnosis. Bochdalek hernia in adults is a rare entity, which requires surgical treatment to prevent any complications.