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Hernia of the diaphragm with gastric ulcer and volvulus: an unusual complication after diaphragmatic resection by VATS

Department of Surgery, Teikyo School of Medicine, 11-1 Kaga 2-Chome, Itabashi-Ku, Tokyo 173, Japan

^* Tel.: +81-3-3964-1211; fax: +81-3-3962-2128
takanami{at}med.teikyo-u.ac.jp

We present a 45-year-old female patient who developed diaphragmatic rupture and secondary hernia following a diaphragmatic resection for a diaphragmatic abnormality with spontaneous pneumothorax performed by endoscopic stapling in video-assisted thoracoscopic surgery (VATS). This complication can be avoided by careful direct repair of the diaphragmatic incision in addition to endoscopic stapling.

Key Words: Diaphragmatic hernia; Complication; Endoscopic stapling