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Surg Laparosc Endosc · Oct 1997
Case ReportsTension pneumothorax precluding laparoscopic repair of diaphragmatic hernia.
- D M Sternberg, A T Petrick, F Gharagozloo, and M S Hannallah.
- Department of Surgery, Georgetown University Medical Center, Washington, D.C. 20007, USA.
- Surg Laparosc Endosc. 1997 Oct 1; 7 (5): 429-31.
AbstractPneumothorax can result from laparoscopic procedures in the abdomen. Usually, pneumothoraxes are mild and asymptomatic and do not require conversion to an open procedure. We report a case of tension pneumothorax that developed during the course of a laparoscopic repair of a diaphragmatic hernia. In this patient, the tension pneumothorax did not respond to conventional means of therapy and required conversion to a laparotomy. A large diaphragmatic hernia with communication between the peritoneal and pleural cavities may be a contraindication to minimally invasive laparoscopic procedures.
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