• Medicina · Jan 2021

    Case Reports

    Benefit of video-assisted thoracic surgery in the emergency of a complicated postpartum diaphragmatic hernia.

    • Facundo N Alvarez Padilla and Oscar D Brosutti.
    • Sevicio de Cirugía Torácica, Sanatorio Santa Fe, Santa Fe, Argentina. E-mail: facundoalvarezpadilla@gmail.com.
    • Medicina (B Aires). 2021 Jan 1; 81 (3): 467-469.

    AbstractDiaphragmatic hernia during pregnancy or puerperium are rare entities that, in the event of a complication, represent a life-threatening emergency for both mother and the unborn child. Resolution in many cases requires a combined access through the thoracic and abdominal cavity to manage the complications of necrosis and/or perforation of an abdominal viscera. To treat the thoracic cavity, thoracotomy is the most described approach. Even more, the minimally invasive access by video-assisted thoracic surgery (VATS) is not widely referenced in the literature despite its clear benefits of this technique in the recovery of patients, even in emergencies. We present the case of a postpartum right diaphragmatic hernia, complicated by necrosis of the colonic wall, treated by combined VATS approach and laparotomy in the emergency.

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