Robotic reconstruction of a left hemi-diaphragm defect with double mesh in a patient with trisomy 21.

Turner, Joe; Alqudah, Obada; Hogan, John; Kouritas, Vasileios

Turner, Joe; Alqudah, Obada; Hogan, John; Kouritas, Vasileios.

Afiliación

Turner J; Medical School, University of East Anglia, Norwich, UK.
Alqudah O; Department of Thoracic Surgery, Norfolk and Norwich University Hospital, Norwich, UK.
Hogan J; Medical School, University of East Anglia, Norwich, UK.
Kouritas V; Department of Thoracic Surgery, Norfolk and Norwich University Hospital, Norwich, UK.

Interdiscip Cardiovasc Thorac Surg ; 37(4)2023 Oct 04.

Article en En | MEDLINE | ID: mdl-37449902

RESUMEN

Robotic reconstructions of large diaphragmatic defects with mesh reconstructions are rare in the literature. We present a case of a complicated diaphragmatic defect, in an adult with trisomy 21, which was successfully repaired robotically with double mesh reinforcement. The meshes were sutured together via a separate suture in the middle to avoid fluid accumulation between them. The patient recovered quickly and uneventfully. On follow-up, he reported no pain, and his performance score improved dramatically. We present this complicated reconstruction in this specific patient, who we think benefitted from avoiding a thoraco-abdominal incision, demonstrating the merits of persevering with a robotic approach.

Palabras clave

Congenital; Diaphragm; Hernia; Mesh; Robotic; Trisomy-21

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Interdiscip Cardiovasc Thorac Surg Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido

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