Minimally Invasive Approach to Traumatic Right Diaphragmatic Hernia

Claire Terez, MD

Product Details
Product ID: ACS-6011
Year Produced: 2020
Length: 10 min.


In this video, we present a 20-year-old patient who sustained liver laceration and traumatic right diaphragmatic rupture after a motor vehicle collision. He had a large hemothorax, requiring chest tube placement, and underwent liver angioembolization. After he was stabilized from a respiratory and hemodynamic standpoint, a decision was made to proceed with a minimally invasive approach to repair his diaphragmatic injury. In this video, we demonstrate a robotic video-assisted thoracoscopic right diaphragmatic hernia repair. It illustrates reduction of the abdominal contents and primary closure of the defect with interrupted pledgeted sutures and reinforcement with barbed suture. He had an uncomplicated hospital course after surgery and was discharged home on postoperative day 4. He was seen in clinic a week after discharge and was doing well.