caa a22 4500 475781813 CHVBK 20180406123646.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000206 doi (NATIONALLICENCE)springer-10.1007/s004640000206 Laparoscopic repair of traumatic diaphragmatic hernias [Elektronische Daten] [G. Meyer, T. P. Hüttl, R. A. Hatz, F. W. Schildberg] Background: Traumatic diaphragmatic hernias are serious complications of blunt abdominal or thoracic trauma. In the early posttraumatic period, they are often missed, and they may be followed by a variety of subacute or chronic symptoms due to pulmonary or intestinal obstruction. Methods: We present three cases of traumatic diaphragmatic hernias. Two of them were successfully treated by laparoscopy and direct suturing during the early posttraumatic period; the other was treated 10 years after the trauma. Results: We found that laparoscopy is a safe, successful, and gentle procedure not only for diagnosis but for treatment as well. The postoperative course was uneventful in all cases. All patients remained asymptomatic during long-term follow-up (42-60 months). These results are promising. We expect the same good long-term results after laparoscopic repair as after open conventional surgery. Conclusion: We recommend that surgeons with sufficient experience in laparoscopy use a minimally invasive approach to treat chronic as well as acute traumatic diaphragmatic hernias in hemodynamically stable patients. Springer-Verlag New York Inc., 2000 Key words: Diaphragmatic hernia — Trauma — Diaphragmatic rupture — Laparoscopic surgery — Chilaiditi's syndrome — Hernia nationallicence Meyer G. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut Hüttl T. P. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut Hatz R. A. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut Schildberg F. W. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut https://doi.org/10.1007/s004640000206 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000206 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Meyer G. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut NATIONALLICENCE 700 1- Hüttl T. P. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut NATIONALLICENCE 700 1- Hatz R. A. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut NATIONALLICENCE 700 1- Schildberg F. W. Department of Surgery, University of Munich, Klinikum Grosshadern, Marchioninistrasse 15, 81377 München, Germany, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer