Diagnosis and treatment of diseases with diaphragmatic anatomic abnormalities

doi:10.16139/j.1007-9610.2024.04.04

Abstract

Abstract:

Hiatal hernia, para-hiatal hernia, diaphragmatic hernia, diaphragmatic agenesis and diaphragmatic eventration are the main types of the diseases with diaphragmatic anatomic abnormalities. Benign and malignant tumors of the diaphragm are not discussed in this paper. Caused by the lack of knowledge about these diseases, improper imaging, clinical diagnosis is often confusing. Based on the literatures and our own experience, this paper proposes the concept of “diseases with diaphragmatic anatomic abnormalities”. The purpose is to summarize these diseases, and briefly describe the treatment methods, and to help strengthen the understanding and treatment of such diseases.

Key words: Diaphragm, Anatomic abnormality, Hiatal hernia, Diaphragmatic hernia, Diaphragmatic agenesis, Diaphragmatic eventration

CLC Number:

R656.6

JI Zhenling. Diagnosis and treatment of diseases with diaphragmatic anatomic abnormalities[J]. Journal of Surgery Concepts & Practice, 2024, 29(04): 296-299.

Figures/Tables 4

References 19

[1]	ALAMA L, GUDINCHET F, MEULI R. Imaging findings in fetal diaphragmatic abnormalities[J]. Pediatr Radiol, 2015, 45(13):1887-1900. doi: 10.1007/s00247-015-3418-5 pmid: 26255159
[2]	HAXTON M J, BELL J. Fetal anatomical abnormalities and other associated factors in middle-trimester abortion and their relevance to patient counselling[J]. Br J Obstet Gynaecol, 1983, 90(6):501-506. pmid: 6860595
[3]	GRANDERATH FA. Measurement of the esophageal hiatus by calculation of the hiatal surface area (HSA). Why, when and how?[J]. Surg Endosc, 2007,21:2224-2225.
[4]	RONA K A, TATUM J M, ZEHETNER J, et al. Hiatal hernia recurrence following magnetic sphincter augmentation and posterior cruroplasty:intermediate-term outcomes[J]. Surg Endosc, 2018, 32(7):3374-3379.
[5]	KöHLER G, PALLWEIN-PRETTNER L, LECHNER M, et al. First human magnetic resonance visualisation of prosthetics for laparoscopic large hiatal hernia repair[J]. Hernia, 2015, 19(6):975-982. doi: 10.1007/s10029-015-1398-x pmid: 26129921
[6]	李俊生, 邵翔宇, 张炜宇, 等. 腹腔镜下食管裂孔旁疝修补术一例及相关文献回顾[J]. 中华胃食管反流病电子杂志, 2017, 4(4):185-187.
	Li J S, Shao X Y, Zhang W Y, et al. Laparoscopic repair of parahiatal hernia: a case report and a review of related literature[J]. Chin J Gastroesophagol Reflux Dis (Electronic Edition), 2017, 4(4):185-187.
[7]	DEMMY T L, BOLEY T M, CURTIS J J. Strangulated parahiatal hernia: not just another paraesophageal hernia[J]. Ann Thorac Surg, 1994, 58(1):226-227. pmid: 8037530
[8]	DAROCKI M D, MEDAK A J. Spontaneous diaphragmatic hernia[J]. Clin Pract Cases Emerg Med, 2018, 2(3):244-246. doi: 10.5811/cpcem.2018.5.38587 pmid: 30083643
[9]	嵇振岭. 要重视对成人“复杂膈疝”的认识和处理[J]. 中华疝和腹壁外科杂志(电子版), 2021, 15(6):545-548.
	Ji Z L. Strengthen the understanding and management of adult complex diaphragmatic hernia[J]. Chin J Hernia Abdominal Wall Surg(Electronic Edition), 2021, 15(6):545-548.
[10]	AL-ADNANI M, MARNERIDES A. Complete bilateral agenesis of the diaphragm[J]. Pediatr Dev Pathol, 2017, 20(1):66-71.
[11]	GROTH S S, ANDRADE R S. Diaphragmatic eventration[J]. Thorac Surg Clin, 2009, 19(4):511-519. doi: 10.1016/j.thorsurg.2009.08.003 pmid: 20112634
[12]	BALCI A E, OZYURTKAN M O. Clinical and surgical specifications of adult unilateral diaphragmatic eventration according to their aetiology in 28 patients. Importance of using diaphragmatic patch and minimal thoracotomy incision[J]. Eur J Cardiothorac Surg, 2010, 37(3):606-612. doi: 10.1016/j.ejcts.2009.07.031 pmid: 19699653
[13]	PARK M, JEONG S H, JUNG E J, et al. Laparoscopic surgery applying an endostaple and mesh for adult diaphragmatic eventration[J]. Ann Thorac Surg, 2021, 111(2):e81-e83.
[14]	KIM D H, SUNG S C, KIM H, et al. Is the pleating technique superior to the invaginating technique for plication of diaphragmatic eventration in infants?[J]. J Pediatr Surg, 2021, 56(5):995-999. doi: 10.1016/j.jpedsurg.2020.07.015 pmid: 32792164
[15]	PARLAR A, GURPMAR A N, DOGRUYOL H. Double purse-string suturing: an easy plication technique in thoracoscopic repair of diaphragmatic eventration[J]. J Pe-diatr Surg, 2020, 55(5):967-971.
[16]	BIN ASAF B, KODAGANUR GOPINATH S, KUMAR A, et al. Robotic diaphragmatic plication for eventration: a retrospective analysis of efficacy, safety, and feasibility[J]. Asian J Endosc Surg, 2021, 14(1):70-76.
[17]	BUDACAN A M, NAIDU B. Is plication for diaphragmatic eventration effective in improving lung function?[M]// FERGUSON M. Difficult Decisions in Thoracic Surgery. Difficult decisions in surgery:an evidence-based approach. Cham: Springer,2020:495-501.
[18]	ÖZKAN S, YAZICI Ü, AYDIN E, et al. Is surgical plication necessary in diaphragm eventration?[J]. Asian J Surg, 2016, 39(2):59-65. doi: 10.1016/j.asjsur.2015.05.003 pmid: 26117205
[19]	GROTH S S, RUETH N M, KAST T, et al. Laparoscopic diaphragmatic plication for diaphragmatic paralysis and eventration: an objective evaluation of short-term and midterm results[J]. J Thorac Cardiovasc Surg, 2010, 139(6):1452-1456. doi: 10.1016/j.jtcvs.2009.10.020 pmid: 20080267