{Reference Type}: Case Reports
{Title}: Laparoscopically assisted diaphragmatic hernia repair with mesh and a myocutaneous flap after left ventricular assist device explantation: A case report.
{Author}: Kawabata K;Takahashi T;Funaki S;Maeda D;Nakajima K;Kurokawa Y;Yamamoto K;Saito T;Momose K;Yamashita K;Tanaka K;Makino T;Kubo T;Shintani Y;Eguchi H;Doki Y;
{Journal}: Asian J Endosc Surg
{Volume}: 17
{Issue}: 4
{Year}: 2024 Oct
暂无{DOI}: 10.1111/ases.13372
{Abstract}: 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.