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Laparoscopic Repair of Iatrogenic Diaphragmatic Hernia After Laparoscopic Splenectomy
Albert Huang^*, Brian J. Dunkin, Victor T. Wilcox
Surgery, Houston Methodist Hospital, Houston, TX

This video illustrates a case of a 35 y/o woman who underwent a renal transplant and a laparoscopic splenectomy for thrombocytopenia in 2011. She recovered well, but began to develop symptoms of dysphagia and reflux that increased.
She was seen in 2013 and underwent imaging, which suggested a Type II paraesophageal hernia. Upon entering the abdomen, the defect was discovered to be separate from the hiatus and indicated a completely different site and etiology for the hernia.
A primary repair of the defect was performed. A mesh overlay was added due to the patient's immunosuppressed status. This is the first reported case of an iatrogenic diaphragmatic injury after laparoscopic splenectomy.

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