The Experts below are selected from a list of 1620 Experts worldwide ranked by ideXlab platform

Keith S Naunheim - One of the best experts on this subject based on the ideXlab platform.

J. M. Johnson - One of the best experts on this subject based on the ideXlab platform.

  • Bochdalek Hernia in the adult: demographics, presentation, and surgical management
    Hernia, 2011
    Co-Authors: Shaun R. Brown, John D. Horton, E. Trivette, Luke J. Hofmann, J. M. Johnson
    Abstract:

    Background Bochdalek Hernias are a very rare form of diaphragmatic Hernias. There are no robust studies that reveal the true natural history of this disease process. The aim of this study was to summarize clinically relevant data for the purpose of assisting surgeons with the work-up, diagnosis, and treatment of adult patients with Bochdalek Hernia. Methods A literature search was performed using PubMed, Google scholar, EMBASE and the following keywords: Bochdalek Hernia, congenital diaphragmatic Hernia, and posterolateral Hernia. All case reports and series after 1955 that pertained to adults were included in the review. The following data points were queried: age, sex, presentation, studies utilized during work-up, laterality, surgical approach, Hernia sac management, specific minimally invasive surgical techniques, and follow-up. Results A total of 124 articles comprising 173 patients met the inclusion criteria. Based on the data provided, several conclusions regarding this disease process can be made. Most patients present with symptoms related to their Hernia (86%). Pain is the most common complaint (69%). While laparotomy is the most widely used surgical approach (38%), minimally invasive surgical techniques have gained popularity since their first report in 1995. Laparoscopic repair can be performed with a low complication rate (7%) and short hospital stay (4 days). Conclusions Using modern surgical techniques to include laparoscopy, repair can be performed safely, with a short hospital stay, and with minimal morbidity or mortality.

  • Bochdalek Hernia in the adult: demographics, presentation, and surgical management
    Hernia, 2010
    Co-Authors: Shaun R. Brown, John D. Horton, E. Trivette, Luke J. Hofmann, J. M. Johnson
    Abstract:

    Background Bochdalek Hernias are a very rare form of diaphragmatic Hernias. There are no robust studies that reveal the true natural history of this disease process. The aim of this study was to summarize clinically relevant data for the purpose of assisting surgeons with the work-up, diagnosis, and treatment of adult patients with Bochdalek Hernia.

Mark L Silen - One of the best experts on this subject based on the ideXlab platform.

Patankar Ritvij - One of the best experts on this subject based on the ideXlab platform.

  • Adult Bochdalek Hernia- A Rare Case Presentation
    2015
    Co-Authors: Kshirsagar Ashok, Vekariya Mayank, Gupta Vaibhav, Pednekar Akshay, Nagur Basavraj, Mahna Abhishek, Patankar Ritvij
    Abstract:

    Introduction: Congenital diaphragmatic Hernia is an anatomical defect of the diaphragm, which allows protrusion of abdominal viscera into the chest, causing serious pulmonary and cardiac complications. Congenital right diaphragmatic Hernia of Bochdalek rarely occurs in adults. Most of them are asymptomatic. The overall prevalence of asymptomatic Bochdalek Hernia in adults is 6%. Case Report: A 58 year old female presented with abdominal pain and constipation. On examinatio

  • Adult Bochdalek Hernia- A Rare Case Presentation. -
    International Journal of Health Sciences and Research, 2014
    Co-Authors: Kshirsagar Ashok, Vekariya Mayank, Gupta Vaibhav, Pednekar Akshay, Nagur Basavraj, Mahna Abhishek, Patankar Ritvij
    Abstract:

    Introduction: Congenital diaphragmatic Hernia is an anatomical defect of the diaphragm, which allows protrusion of abdominal viscera into the chest, causing serious pulmonary and cardiac complications. Congenital right diaphragmatic Hernia of Bochdalek rarely occurs in adults. Most of them are asymptomatic. The overall prevalence of asymptomatic Bochdalek Hernia in adults is 6%. Case Report: A 58 year old female presented with abdominal pain and constipation. On examination bowel sounds heard in left sided chest. X-ray chest suggestive of air-fluid level in left lung field and shift of mediastinum structure to right. X-ray abdomen erect suggestive of small intestinal obstruction. Laparotomy was done and reduction of large bowel loops from diaphragmatic opening done. Discussion: Bochdalek’s Hernia (posterolateral defect, pleuroperitoneal Hernia), firstly described by Bochdalek in 1848, is a congenital posterior lateral diaphragmatic defect that allows abdominal viscera to Herniate into the thorax, resulting from failed closure at 8 weeks of gestation of the pleuroperitoneal ducts, primitive communications between the pleural and abdominal cavities. Bochdalek Hernia is a congenital anomaly in neonatal and postnatal patients and occurs in about one in 2,200 to 12,500 live births, but it is rare in adults. Conclusion: Bochdalek Hernia should be in mind while diagnosing the bowel obstruction case in adult. Surgery is the only treatment. Prompt treatment prevents complications.

A. Genio - One of the best experts on this subject based on the ideXlab platform.

  • Laparoscopic treatment of Bochdalek Hernia without the use of a mesh
    Surgical Endoscopy And Other Interventional Techniques, 2003
    Co-Authors: L. Brusciano, G. Izzo, V. Maffettone, G. Rossetti, A. Renzi, V. Napolitano, G. Russo, A. Genio
    Abstract:

    Bochdalek Hernia is a rare pathology. The preoperative diagnosis is difficult, and few reports are available regarding its treatment. Herein we report the case of a 25-year-old woman referred for symptoms of dyspepsia, dysphagia, and thoracic pain exacerbated by pregnancy. Preoperative radiography, EGD, and CT scan revealed a paraesophageal hiatal Hernia. Laparoscopic exploration showed the complete thoracic migration of the stomach through a left posterolateral diaphragmatic foramen. The diagnosis of a Bochdalek Hernia was then made. The diaphragmatic defect was repaired without inserting a prosthesis, using five separate non-reabsorbable stitches (Rieder technique). The procedure was completed with a Nissen-Rossetti fundoplication. The duration of the procedure was 150 min. Hospital stay was 12 days. There were no complications. Postoperative Gastrografin radiography of the esophagus and stomach showed a normal-shaped fundoplication and confirmed the subdiaphragmatic location of the stomach. We conclude that the laparoscopic approach represents the gold standard for the diagnosis and treatment of Bochdalek Hernia and any associated complications.