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Chirurgia 2005 August;18(4):221-6

language: Italian

A rare case of recurring post-traumatic diaphragmatic hernia

Gemo G., Greco A., Cuviello A., Loro G., Cappellari F., Meneghini G., Calabrese G., Todarello V., Chiarello M., Vento P., Ciprian V., Gagni G.


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After a short introduction to the physiopathologic classification of diaphragmatic hernias, the case of a patient presenting clinical signs of recurrent subocclusive syndrome and who underwent twice the surgical treatment of a complicated post-traumatic diaphragmatic hernia is reported. After a new diagnosis of hernia relapse in the same place of the previous ones, the patient is submitted to surgery with the patching of prosthetic material (goretex + polypropilene) never used in the previous surgical treatments. The authors present a review of the most recent literature and analyse the role of the minimally invasive video-assisted surgery as well as the role of the most modern prosthetic devices. There is not an unanimous agreement on the use and quality of the prosthetic material in the correction of hernias as well as for the laparotomic or laparoscopic approach. Finally, they explain the indications concerning the use of prothesis and the video-laparoscopic technique.

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