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Yamamoto Y, Tanabe K, Hotta R, et al. Laparoscopic extra-abdominal suturing technique for the repair of Larrey's diaphragmatic hernia using the port closure needle (Endo Close. Int J Surg Case Rep. 2016;28:34-37doi: 10.1016/j.ijscr.2016.09.010.
Yamamoto, Y., Tanabe, K., Hotta, R., Fujikuni, N., Adachi, T., Misumi, T., Saeki, Y., Takehara, H., & Ohdan, H. (2016). Laparoscopic extra-abdominal suturing technique for the repair of Larrey's diaphragmatic hernia using the port closure needle (Endo Close. International journal of surgery case reports, 2834-37. https://doi.org/10.1016/j.ijscr.2016.09.010
Yamamoto, Yuji, et al. "Laparoscopic extra-abdominal suturing technique for the repair of Larrey's diaphragmatic hernia using the port closure needle (Endo Close." International journal of surgery case reports vol. 28 (2016): 34-37. doi: https://doi.org/10.1016/j.ijscr.2016.09.010
Yamamoto Y, Tanabe K, Hotta R, Fujikuni N, Adachi T, Misumi T, Saeki Y, Takehara H, Ohdan H. Laparoscopic extra-abdominal suturing technique for the repair of Larrey's diaphragmatic hernia using the port closure needle (Endo Close. Int J Surg Case Rep. 2016;28:34-37. doi: 10.1016/j.ijscr.2016.09.010. Epub 2016 Sep 21. PMID: 27677114; PMCID: PMC5037122.
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Int J Surg Case Rep. 2016;28:34-37. doi: 10.1016/j.ijscr.2016.09.010. Epub 2016 Sep 21.

Laparoscopic extra-abdominal suturing technique for the repair of Larrey's diaphragmatic hernia using the port closure needle (Endo Close.

International journal of surgery case reports

Yuji Yamamoto, Kazuaki Tanabe, Ryuichi Hotta, Nobuaki Fujikuni, Tomohiro Adachi, Toshihiro Misumi, Yoshihiro Saeki, Hiroki Takehara, Hideki Ohdan

Affiliations

  1. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
  2. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  3. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  4. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  5. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  6. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  7. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  8. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].
  9. Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan. Electronic address: [email protected].

PMID: 27677114 PMCID: PMC5037122 DOI: 10.1016/j.ijscr.2016.09.010

Abstract

INTRODUCTION: Morgagni's or Larrey's diaphragmatic hernias are relatively uncommon. If the defect is too large for primary closure, the use of a mesh is inevitable. Although primary closure is adaptable for relatively small defects, it is difficult to suture the hernial orifice in which the anterior rim is absent. Herein, we present the case of a patient with Larrey's diaphragmatic hernia that was easily and securely repaired using the recently developed laparoscopic extra-abdominal suturing technique via the port closure needle (Endo Close

PRESENTATION OF CASE: An 89-year-old woman complaining of vomiting was transferred to our hospital. Computed tomography scan showed Larrey's diaphragmatic hernia. Laparoscopic repair was performed after gastric decompression. We diagnosed Larrey's hernia on the left side of the falciform ligament. The transverse colon was herniated through the defect. Since the hernial defect was located below the substernal space, there was no tissue to stitch at the anterior rim of the hernial orifice. We performed the extra-abdominal suturing technique, suturing the posterior rim of the hernia to the full thickness of the anterior abdominal wall using the port closure needle (Endo Close

DISCUSSION: The recently developed extra-abdominal suturing technique using Endo Close

CONCLUSION: This method may be useful in terms of easiness and security of suture.

Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Diaphragmatic hernia; Extra-abdominal suturing technique; Laparoscopic repair; Larrey’s hernia; Morgagni’s hernia

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