PMC6597496_01
Preoperative images of the Bochdalek hernia.. CT reveals herniation of the gastric corpus through the left posterior diaphragm (white arrow) in a coronal view (a) and a sagittal view (b).
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Contrast-enhanced computed tomography (CT) scan confirmed herniation of the gastric corpus through the left posterior part of the diaphragm (Fig. 1).
HALS for repair of the Bochdalek hernia.. a. Adhesions around the hernial orifice were carefully removed by HALS.. b. A 5 x 3 cm hernial orifice with a sac was observed.. c. The defect was repaired with interrupted nonabsorbable sutures.
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ACE shears (Ethicon, NJ, USA) (Fig. 2a), the stomach was completely freed and could be returned to the abdominal cavity. A 5 x 3 cm hernial defect with sac was observed (Fig. 2b). Accordingly, the defect was repaired with interrupted nonabsorbable sutures (2-0 Nesporen; Alfresa Pharma Corporation, Osaka, Japan) using a 5 mm port on the left upper abdomen and the surgeon's left hand via the hand port (Fig. 2c).