Laparoscopic repair of Bochdalek hernia with intrathoracic kidney and concomitant redo-redo incisional hernia

Le résumé fourni par la source

Bochdalek hernias (BHs), though rare, are the most common congenital diaphragmatic hernias. Their coexistence with an ectopic intrathoracic kidney (IK), found in 0.25% of cases, is even rarer. Most IKs function normally; however, other than reported cases of BH-related obstruction, incarceration and strangulation, kidney-specific complications such as infection, obstruction and stone formation can occur. We present a patient presenting with a BH-IK in the setting of a symptomatic, multiply recurrent incisional hernia. Although there is no consensus on the best BH-IK repair technique, we propose that complete reduction and laparoscopic primary repair with mesh reinforcement using an intraperitoneal onlay mesh-plus technique are safe and feasible.

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