%0 Case Reports
%T Laparoscopically assisted diaphragmatic hernia repair with mesh and a myocutaneous flap after left ventricular assist device explantation: A case report.
%A Kawabata K
%A Takahashi T
%A Funaki S
%A Maeda D
%A Nakajima K
%A Kurokawa Y
%A Yamamoto K
%A Saito T
%A Momose K
%A Yamashita K
%A Tanaka K
%A Makino T
%A Kubo T
%A Shintani Y
%A Eguchi H
%A Doki Y
%J Asian J Endosc Surg
%V 17
%N 4
%D 2024 Oct
%M 39143668
暂无%R 10.1111/ases.13372
%X We report the case of a 32-year-old man who developed a giant diaphragmatic hernia following the removal of a left ventricular assist device 4 years prior due to improved cardiac function. Chest radiography revealed an intrathoracic prolapse of the gastrointestinal tract. The patient was diagnosed with a diaphragmatic hernia and a laparoscopy-assisted repair was performed. A 12 × 8 cm hernia was found intraoperatively on the left diaphragm, and a large portion of the gastrointestinal tract had prolapsed into the thoracic cavity. We attempted to repair the ventromedial defect using mesh; however, it was found to be insufficient. Therefore, we used a left rectus abdominis myocutaneous flap to fill the defect and sutured it to the mesh. A myocutaneous flap could be a useful strategy in cases where complete closure with mesh is difficult.