ReviewSurgical endoscopy2022
When laparoscopic repair is feasible for diaphragmatic hernia in adults? A retrospective study and literature review.
Review in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed, 15 citations in OpenAlex.
- Thoracoscopic repair of chronic post-traumatic diaphragmatic hernia: outcomes and selection criteria.Surgical endoscopy · 2026Article
- Postoperative hepatic encephalopathy following laparoscopic repair of diaphragmatic hernia after radiofrequency ablation: a case report and literature review.Journal of surgical case reports · 2025Article
- Chronic Post-Traumatic Diaphragmatic Hernias: Diagnostic Pitfalls, Surgical Strategies, and Long-Term Outcomes.Cureus · 2025Review
- A New ROCK Band for Diaphragmatic Reconstruction in Retroperitoneal Sarcoma Surgery.Journal of surgical oncology · 2025Article
- Robotic repair of a large chronic traumatic diaphragmatic hernia.JTCVS techniques · 2023Article
- Maternal diaphragmatic hernia in pregnancy: A systematic review with a treatment algorithm.World journal of clinical cases · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiaphragmatic hernia (DH), congenital or traumatic, is uncommon but sometimes can lead to a serious surgical emergency. There are no clinical guidelines or approved recommendations for the management of this condition, and most data are from retrospective, single-institution series. The aim is to analyze the management of the DH at our institution and review the indications for laparoscopic repair.
methodsA retrospective serie of patients diagnosed of DH with surgical treatment at our institution between 2009 and 2019. Literature review was carried out to establish the current indications of laparoscopic repair in each type of DH.
resultsSurgery was carried out in 15 patients with DH, 5 congenital and 10 traumatic hernias. Traumatic hernias were classified as acute (n = 2) and chronic (n = 8). 53.4% of all cases (8 patients) required urgent surgery using an abdominal approach (5 open and 3 laparoscopic) and elective surgery was performed in 46.6% of all cases (7 patients) with an abdominal approach (3 open and 4 laparoscopic) and 2 patients with a combined approach. Primary repair was performed in 4 patients (26.6%), closure and mesh reinforcement in 9 cases (60%) and only mesh placement in 2 patients (13.4%). Postoperative morbidity and mortality were 20% and 0%, respectively. No recurrences were detected.
conclusionsDH may pose different scenarios which require urgent or elective surgical treatment. Laparoscopic approach may be a first option in elective surgery; and in emergency setting taking into account hemodynamic stability and associated injuries.
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