BMJ Case Reports 2013; doi:10.1136/bcr-2012-008349

A novel technique for repairing a large diaphragmatic defect with no costal attachments

  1. Harry Parissis
  1. Department of Cardiothoracics, Royal Victoria Hospital, Belfast, UK
  1. Correspondence to Adam Tucker, atuc{at}


Chronically ruptured diaphragms are difficult to diagnose. Often they are asymptomatic but convey a high risk for incarceration, and therefore surgical repair is mandatory. In the following case report, we present an abnormal 10×12 cm diaphragmatic defect whereby there was no anterior edge to the defect. This posed a challenge as to how to repair. We present a novel technique that facilitates sound solution through a thoracotomy approach.

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