PMC5037122_01
(A) Chest radiograph showing colonic gas above the left diaphragm in the left middle and lower lung zones. (B) Chest computed tomography scan showing the transverse colon, greater omentum, and stomach incarcerated in the left pleural cavity.
gr1.jpg
PMC5037122_01_gr1.jpg
fig0005
Chest radiography (Fig. 1A) and computed tomography (Fig. 1B) scan showed Larrey's diaphragmatic hernia.
(A) Laparoscopic view showing the transverse colon herniating through the defect on the left side of the falciform ligament. (B) The hernia content reduced into the abdominal cavity.
gr2.jpg
PMC5037122_01_gr2.jpg
fig0010
The transverse colon was found herniating through the defect (Fig. 2A) and was reduced into the peritoneal cavity (Fig. 2B).
(A) The defect closed by the extra-abdominal suturing technique, suturing the posterior rim of the hernia to the full thickness of the anterior abdominal wall using Endo Close . (B) Placement of all 5 sutures.
gr3.jpg
PMC5037122_01_gr3.jpg
fig0015
The port closure needle (Endo Close ) was inserted into the abdominal cavity, taking one end of the Prolene suture to the outside of the abdominal cavity (Fig. 3A). Following the same steps, 4 more sutures were placed and held (Fig. 3B).
Laparoscopic view showing closure of the hernial orifice.
gr4.jpg
PMC5037122_01_gr4.jpg
fig0020
Closure of the hernial orifice was observed (Fig. 4).