Laparoscopic Repair of Diaphragmatic Hernia

  • Lucian Newman
  • Steve Eubanks


Hernias of the diaphragm are unusual defects that can present difficult diagnostic and technical problems for the surgeon (Figure 15–1). The entity of the hernia of the thoracic diaphragm was first recognized several centuries ago. Ambroise Pare (1510–1590) first described traumatic diaphragmatic hernia in 1579 based on postmortem findings in two patients [1]. In 1769, Giovanni Battista Morgagni described herniation through the subcostostemal space [2]. This same hernia would later be referred to as Larrey’s hernia [3] and descriptively known as the subcostosternal diaphragmatic hernia [4]. The posterolateral diaphragmatic hernia (foramen of Bochdalek) was described in 1848. Hiatal hernia has been recognized in autopsy studies for several centuries. Hiatal hernia was not diagnosed in living humans until early in the twentieth century following the development of diagnostic radiographic methods [5]. The technique and timing of repair of these diaphragmatic defects has been an area of controversy for many years. Recently, laparoscopic techniques have been applied to the repair of hernias of the diaphragm.


Diaphragmatic Hernia Paraesophageal Hernia Tension Pneumothorax Median Arcuate Ligament Traumatic Diaphragmatic Hernia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Morgagni GB: Seats and causes of diseases. Zellts 54. Monograph on Hernia of the Diaphragm; 1769.Google Scholar
  2. 2.
    Thomas TV: Subcostal diaphragmatic hernia. J Thorac Cardiovasc Surg 1972, 63:278.Google Scholar
  3. 3.
    Harrington SW: Various types of diaphragmatic hernias treated surgically: report of 430 cases. Surg Gynecol Obstet 1948, 86:735.PubMedGoogle Scholar
  4. 4.
    Bochdalek: Einige Betrachtungen uber die Entstehung des angeborenen Zwerchfellbnuches. Als Beitrag zur pathologischen Anatomie der Hernien. Vierteljahrschrifl fur die praktische Heilkunde. 1948; 19:89–97.Google Scholar
  5. 5.
    Skinner D: Hiatal hernia and gastroesophageal reflux. In Textbook of Surgery, 14th ed. Edited by Sabiston DC. Philadelphia: W.B. Saunders Company; 1991:704–715.Google Scholar
  6. 6.
    Sabiston DC, Spencer FC, eds: Surgery of the Chest, 5th ed. Philadelphia: W.B. Saunders Company; 1990:958–960.Google Scholar
  7. 7.
    Grosfield JC: Surgically correctable causes of respiratory distress: congenital diaphragmatic hernia. In Textbook of Surgery, 14th ed. Edited by Sabiston DC. Philadelphia: W.B. Saunders Company; 1991:1163–1165.Google Scholar
  8. 8.
    deLorimier AA: Congenital malformations and neonatal problems of the respiratory tract. In Pediatric Surgery, 4th ed. Edited by Welch KJ, Randolph JG, Ravitch MM, O’Neill JA, Rowe MI. Chicago: Year Book Medical Publishers; 1986:639–640.Google Scholar
  9. 9.
    Newman L, Eubanks S. Bridges M, Lucas G: Laparoscopic diagnosis and treatment of Morgagni hernia. Surg Laparosc Endosc 1995, 5:27–31.PubMedCrossRefGoogle Scholar
  10. 10.
    Perdikis G, Hindus R: Paraesophageal hiatal hernia. In Hernia, 4th ed. Edited by Nyhus L, Condon R. Philadelphia: J.B. Lippincott Company; 1995:543–554.Google Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Lucian Newman
  • Steve Eubanks

There are no affiliations available

Personalised recommendations