Interdiscip Cardiovasc Thorac Surg

. 2023 Jul 14;ivad108.

 doi: 10.1093/icvts/ivad108. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/37449902/

Robotic reconstruction of a left hemi-diaphragm defect with double mesh in a patient with Trisomy-21

Joe Turner ^1 2, Obada Alqudah ², John Hogan ², Vasileios Kouritas ²

Affiliations expand

• PMID: 37449902
• DOI: 10.1093/icvts/ivad108

Free article

Abstract

Robotic reconstructions of large diaphragmatic defects with mesh reconstructions are scanty in the literature. We present a case of a complicated diaphragmatic defect, in a Trisomy-21 adult, which was successfully repaired robotically with double mesh reinforcement. The meshes were sutured together via a separate suture in the middle to avoid fluid accumulation between them. His recovery was quick and uneventful. On follow-up he reported no pain and his performance score (PS) improved theamatically. We present this complicated reconstruction in this specific patient, who we think benefitted from avoiding a thoraco-abdominal incision, demonstrating the merits of persevering with a robotic approach.

Keywords: Robotic; Trisomy-21; congenital; diaphragm; hernia; mesh.

© The Author(s) 2023. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery.