PMC7588745_01
Gastric herniation in the thorax through the diaphragmatic defect.
gr1.jpg
PMC7588745_01_gr1.jpg
fig0005
The preliminary laparoscopy confirmed the presence of a wide diaphragmatic defect with the complete herniation of the stomach in the thorax (Fig. 1) and showed the absence of a hiatal hernia.
Diaphragmatic defect after the repositioning of the stomach in the abdomen.
gr2.jpg
PMC7588745_01_gr2.jpg
fig0010
With the exposure of the diaphragmatic defect (Fig. 2), we noted that the spleen was attached to the diaphragm and it was impossible to position the mesh adequately.