Successful Simultaneous Laparoscopic Repair of Concurrent Diaphragmatic Eventration, Hiatal Hernia, and Recurrent Inguinal Hernia in a Single Procedure: A Case Report

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Abstract
This article presents the case of a 59-year-old female patient with left-sided diaphragmatic eventration, hiatal hernia, and recurrent left inguinal hernia. A carefully planned single laparoscopic procedure was developed to carry out partial diaphragmatic resection with mesh reinforcement,hiatal hernia repair with Nissen fundoplication,and tension-free inguinal hernia repair ,all based on detailed preoperative imaging evaluation. The innovative aspects of this procedure include: (1) a simultaneous transabdominal approach for the management of diaphragmatic eventration and multiple hernias; (2) the use of a linear stapler for partial diaphragmatic resection to reduce suture tension; and (3) reinforcement of the weakened diaphragmatic area with a double-layer mesh. The patient recovered well postoperatively without complications. The goal of this example is to give a new view of the minimally invasive care of complicated multiple hernias.
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Authors Song, bin
Journal Frontiers in surgery
Year Year not found
DOI
10.3389/fsurg.2026.1748082
URL
https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1748082/full
Keywords Keywords not found

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