ROBOTIC DIAPHRAGMATIC HERNIA REPAIR
Mithun Nariampalli Karthyarth*1, Nirjhar R. Rakesh1, Anvin Mathew1, Deepti Ramachandra1, Anuj Goyal1, Neeraj Yadav1, Puneet Dhar1,2
1ALL INDIA INSTITUTE OF MEDICAL SCIENCES, RISHIKESH, Rishikesh, Uttarakhand, India; 2Amrita Institute of Medical Sciences, Faridabad, Haryana, India
A 25 year old male with left side abdominal pain, on evaluation was found to have left posterolateral diaphragmatic hernia of defect size 7.1X 8.5 cm. There was herniation of stomach, spleen, splenic flexure of colon, omentum, body and tail of pancreas. He underwent robotic diaphragmatic hernia repair. Omentum, small bowel loops and large bowel loops were reduced. There was difficulty in reducing spleen, the defect was enlarged and spleen reduced. Defect was closed primarily with barbed suture. The defect was reinforced with composite mesh fixed with absorbable mechanical fixation device. Post procedure was uneventful.
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