MBBS | DNB(General Surgery, Gold Medalist) | DNB(Thoracic Surgery, Gold Medalist)
Consultant Thoracic & Lungs Transplant Surgeon | Medanta – The Medicity Gurugram

INSTITUTE OF CHEST SURGERY LOGO

Dr Mohan Venkatesh Pulle

MBBS | DNB(General Surgery, Gold Medalist) | DNB(Thoracic Surgery, Gold Medalist)
Consultant Thoracic & Lungs Transplant Surgeon | Medanta – The Medicity Gurugram

INSTITUTE OF CHEST SURGERY LOGO

Treatment of Hernia and Eventration of Diaphragm: Managing Abnormalities in the Diaphragm

Treatment

Treatment of Hernia and Eventration of Diaphragm: Managing Abnormalities in the Diaphragm

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A Diaphragmatic Hernia is a condition where abdominal organs move into the chest cavity due to an abnormal opening in the diaphragm, the muscle that separates the two areas and aids in breathing. Eventration, similarly, is the abnormal elevation of all or part of the diaphragm, which can lead to its dysfunction. These conditions can be congenital (present at birth) or acquired due to trauma or surgical complications. Symptoms might include difficulty breathing, abdominal discomfort, and other gastrointestinal signs due to the displacement of abdominal organs.

Diagnosis is typically made through imaging studies such as X-rays, CT scans, or MRIs, which can reveal the herniation or eventration and the extent of organ displacement. Pulmonary function tests may also be conducted to determine the impact on respiratory capacity. Treatment often involves surgical repair to return the organs to their proper position and reconstruct the diaphragm. The surgical approach can vary from open surgery to minimally invasive techniques such as Video-Assisted Thoracoscopic Surgery (VATS), or Robotic surgery (RATS) depending on the case’s complexity and the patient’s condition. For the surgical treatment of diaphragmatic hernias and eventration, VATS provides a less invasive option with the benefit of reduced recovery times and hospital stays. In addition to VATS, robotic surgery is emerging as a cutting-edge technique offering enhanced precision, flexibility, and control, potentially reducing surgical trauma, and improving patient outcomes.

For individuals diagnosed with a diaphragmatic hernia or eventration, it’s crucial to seek a thoracic surgeon with extensive experience in diaphragmatic surgery. Dr. Mohan Venkatesh Pulle is proficient in these complex procedures, utilizing both traditional and advanced surgical techniques to restore diaphragmatic function and alleviate the symptoms associated with these conditions. His expertise ensures that patients receive the most appropriate and effective treatment for their specific needs, aiming for the best possible outcome and quality of life post-surgery.

Frequently Asked Questions

Pneumothorax is a medical condition characterized by the presence of air in the pleural space, the area between the lung and the chest wall. This can lead to lung collapse and difficulty breathing.

Symptoms of pneumothorax include sudden sharp chest pain, shortness of breath, dry cough, and in some cases, shoulder or back pain.

Yes, there are several types, including Spontaneous (both primary and secondary), Traumatic, Tension, and Iatrogenic. Each type has distinct causes and characteristics.

Diagnosis often involves a physical examination, medical history review, and imaging studies like chest X-rays or CT scans. The type and severity of pneumothorax guide the diagnostic approach.

Treatment depends on the severity. Mild cases may resolve on their own, while more severe cases may require intervention. Options include observation, needle aspiration, chest tube insertion, or surgery to remove trapped air and stabilize the lung.

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