ArticleJournal of surgical case reports2026
Laparoscopic repair of iatrogenic diaphragmatic hernia following pedicled omentoplasty using a modified Sugarbaker technique with round ligament reinforcement.
Article in Journal of surgical case reports, 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
Iatrogenic diaphragmatic hernia is a rare complication following pedicled omentoplasty for post-cardiac surgery mediastinitis. No standardized repair technique has been established for this condition. We report the case of a 79-year-old man who developed an iatrogenic diaphragmatic hernia with transverse colon herniation into the mediastinum following omentoplasty after aortic arch replacement. We successfully performed a totally laparoscopic repair using a modified Sugarbaker technique with reinforcement of the peri-pedicle area using the round ligament of the liver. At 2-year follow-up, no recurrence was observed. The proposed modifications-dorsal pedicle lateralization and round ligament reinforcement of the peri-pedicle area-may improve mesh stability and reduce recurrence risk in iatrogenic diaphragmatic hernia repair while preserving the omental vascular pedicle.
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