Laparoscopic Repair of Diaphragmatic Hernia with Mesh Following Sleeve Gastrectomy

The patient is a 46-year-old female with a history of morbid obesity, status post laparoscopic sleeve gastrectomy at an outside institution, complicated by a left diaphragmatic thermal injury. On review of the sleeve gastrectomy operative dictation, an approximately 3 cm defect was incidentally made in the left diaphragm by a harmonic scalpel, which was repaired primarily with interrupted permanent suture at that time. She presented three years later with emesis, obstipation, and left upper quadrant abdominal pain for several days.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research