Robotic Transthoracic Repair of a Right-Sided Traumatic Diaphragmatic Rupture
Introduction Traumatic diaphragm rupture injury repairs are predominately performed through thoracotomy, laparotomy, or a combination of the two approaches. While open surgery is often necessary to follow the fundamentals of damage-control operations in unstable or polytrauma patients, minimally invasive surgery may be an alternative for those with a low injury burden to reduce the postoperative morbidities associated with open operations.
Case Description We describe the first case of a right-sided diaphragm rupture from blunt trauma that was repaired by a robotic transthoracic approach in the index admission.
Conclusion Minimally invasive repair of an acute traumatic diaphragm rupture is feasible in selected trauma patients.
Received: 28 November 2019
Accepted: 10 June 2020
28 September 2020 (online)
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).
Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.
- 1 Lim KH, Park J. Blunt traumatic diaphragmatic rupture: single-center experience with 38 patients. Medicine (Baltimore) 2018; 97 (41) e12849
- 2 Zarzavadjian Le Bian A, Costi R, Smadja C. Delayed right-sided diaphragmatic rupture and laparoscopic repair with mesh fixation. Ann Thorac Cardiovasc Surg 2014; 20 (suppl): 550-553
- 3 Mancini A, Durame A, Barbois S, Abba J, Ageron FX, Arvieux C. Relevance of early CT scan diagnosis of blunt diaphragmatic injury: a retrospective analysis from the Northern French Alps Emergency Network. J Visc Surg 2019; 156 (Suppl. 01) 3-9
- 4 Amadou Magagi I, Habou O, Adamou H. et al. Isolated right-sided posttraumatic diaphragmatic hernia. Case Rep Surg 2018; 2018: 8758021
- 5 Al-Thani H, Jabbour G, El-Menyar A, Abdelrahman H, Peralta R, Zarour A. Descriptive analysis of right and left-sided traumatic diaphragmatic injuries; case series from a single institution. Bull Emerg Trauma 2018; 6 (01) 16-25
- 6 Testini M, Girardi A, Isernia RM. et al. Emergency surgery due to diaphragmatic hernia: case series and review. World J Emerg Surg 2017; 12: 23
- 7 Counts SJ, Saffarzadeh AG, Blasberg JD, Kim AW. Robotic transthoracic primary repair of a diaphragmatic hernia and reduction of an intrathoracic liver. Innovations (Phila) 2018; 13 (01) 54-55
- 8 Grushka J, Ginzburg E. Through the 10-mm looking glass: advances in minimally invasive surgery in trauma. Scand J Surg 2014; 103 (02) 143-148
- 9 Agostini P, Cieslik H, Rathinam S. et al. Postoperative pulmonary complications following thoracic surgery: are there any modifiable risk factors?. Thorax 2010; 65 (09) 815-818
- 10 Thomas P, Moutardier V, Ragni J, Giudicelli R, Fuentes P. Video-assisted repair of a ruptured right hemidiaphragm. Eur J Cardiothorac Surg 1994; 8 (03) 157-159