Laparoscopic Repair of Congenital Diaphragm Hernia with Gastric Bypass

Background: We are presenting a 35 year old patient with morbid obesity as well as symptoms of severe gastroesophageal reflux disease who, with preoperative imaging, was diagnosed with a large paraesophageal hernia. He underwent laparoscopic repair of the hernia as well as gastric bypass and was found at the time of surgery to have a large primary diaphragmatic hernia instead of a paraesophageal hernia. The defect did not appear to be either a Morgagni or Bochdalek hernia as it was centrally located in the diaphragm, just lateral to the left crus.

Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Kellen Hayes, Philip R Schauer Source Type: research