ArticleSurgical endoscopy2026
Retroperitoneal totally endoscopic prosthetic repair of adult Bochdalek hernia: a multicenter retrospective cohort study.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeBochdalek hernia (BH) is a rare congenital diaphragmatic defect in adults, often presenting with nonspecific symptoms and posing challenges in diagnosis and treatment. Traditional open surgery is associated with significant trauma, while minimally invasive techniques have gained popularity. This multicenter retrospective cohort study aimed to evaluate the feasibility and short-term efficacy of the retroperitoneal totally endoscopic prosthetic (R-TEP) repair technique for adult BHs.
methodsA retrospective review was conducted on ten adult patients with BHs who underwent R-TEP repair from February 2022 to December 2023 across four tertiary hospitals. Patient demographics, hernia characteristics, operative details, perioperative complications, and follow-up outcomes were analyzed. Continuous variables are presented as median (range).
resultsThe median age of the patients was 53.50 years (range: 23-66), with a median body mass index (BMI) of 25.01 kg/m
conclusionThe R-TEP repair technique for adult BHs is safe, effective, and reproducible. It offers a minimally invasive approach with favorable outcomes, including reduced postoperative pain, shorter hospital stays, and a low recurrence rate. This technique is a valuable addition to the surgical management of adult BHs and merits validation in larger prospective studies.
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