Tools
ToolsDȩbski, Maciej, Sardar, Abbas, Vickery, Craig and Ring, Liam (2024) Pericardial tamponade after laparoscopic repair of a giant diaphragmatic hernia. BMJ Case Reports, 17 (7). ISSN 1757-790X
Full text not available from this repository. (Request a copy)Abstract
Laparoscopic intraperitoneal onlay mesh repair is favoured for diaphragmatic hernias due to better outcomes. However, fixation devices pose risks, including cardiac tamponade. A man underwent laparoscopic repair for a large diaphragmatic hernia. One week later, he presented with chest discomfort which was initially attributed to postoperative pain. Subsequently, patient represented with worsening of chest pain and tachycardia. CT requested to rule out pulmonary embolism revealed a large pericardial effusion. Urgent drainage via apical approach resolved tamponade. The case highlights the challenges in managing pericardial effusions post-laparoscopy in the presence of diaphragmatic mesh and stresses multidisciplinary collaboration. Literature review highlights risks associated with fixation devices. Suggestions include limiting their use near vital structures. Key learning point of this case report is to raise awareness of cardiac tamponade following diaphragmatic hernia repair. Limited evidence necessitates cautious use of fixation devices, emphasising patient safety.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | general surgery,medical management,pericardial disease,medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 20 Mar 2025 15:30 |
| Last Modified: | 28 Mar 2025 13:11 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/98842 |
| DOI: | 10.1136/bcr-2024-261122 |
Actions (login required)
 |
View Item |