Laparoscopic repair of diaphragmatic hernia with mesh after sleeve gastrectomy

The patient was a 46-year-old female with a history of morbid obesity and was post –laparoscopic sleeve gastrectomy (performed 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; this was repaired pri marily with interrupted permanent suture at that time. She presented 3 years later with a several-day history of emesis, obstipation, and left upper quadrant abdominal pain.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Video Case report Source Type: research