PMC6100698_01
Intraoperative image demonstrating port position. (A) Camera port positioned superior and medial to the left anterior superior iliac spine, (B) working port positioned superior and lateral to the right anterior superior iliac spine, (C) working port positioned at the right costal margin, and (D) working port positioned superior and lateral to the umbilicus.
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The three working ports were positioned superior and lateral to the right anterior superior iliac spine, at the right costal margin, and superior and lateral to the umbilicus (Fig. 1).
Intra-abdominal laparoscopic view demonstrating (A) diaphragmatic defect with small bowel herniation, (B) right renal ureter and vessels adherent over the right crus of the diaphragm, and (C) lower pole of right perinephric tissue.
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The vessels were followed up until the renal hilum was reached, which was then mobilized (Fig. 2).
Intra-abdominal laparoscopic views of prosthetic mesh repair placed over the diaphragmatic defect.
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A prosthetic mesh patch was utilized for closure of the diaphragmatic defect (Fig. 3).
Postpartum CT demonstrating repair of the Bochdalek CDH and the appropriately positioned right kidney within the abdomen posterior to the right lobe of the liver. CDH, congenital diaphragmatic hernia.
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A postpartum CT demonstrated the repaired Bochdalek CDH and the appropriately positioned right kidney within the abdomen posterior to the right lobe of the liver (Fig. 4).