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Peer-reviewed veterinary case report

Laparoscopic repair of three hernias in one surgery

By Gao C et al.·2026·The Second Department of General Surgery, China·View original on Europe PMC

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Original publication title: Successful simultaneous laparoscopic repair of concurrent diaphragmatic eventration, hiatal hernia, and recurrent inguinal hernia in a single procedure: a case report.

Plain-English summary

This article describes a case involving a 59-year-old female patient who had several issues: a problem with her diaphragm, a hernia in her stomach area, and a recurring hernia in her groin. The doctors performed a single laparoscopic surgery, which is a minimally invasive technique, to fix all these problems at once. They used special tools and techniques to ensure the repairs were strong and effective. After the surgery, the patient recovered well without any complications. This case highlights a new approach to treating complex hernias with less invasive methods.

Abstract

This article presents the case of a 59-year-old female patient with left-sided diaphragmatic eventration, hiatal hernia, and recurrent left inguinal hernia. A carefully planned single laparoscopic procedure was developed to carry out partial diaphragmatic resection with mesh reinforcement, hiatal hernia repair with Nissen fundoplication, and tension-free inguinal hernia repair, all based on detailed preoperative imaging evaluation. The innovative aspects of this procedure include: (1) a simultaneous transabdominal approach for the management of diaphragmatic eventration and multiple hernias; (2) the use of a linear stapler for partial diaphragmatic resection to reduce suture tension; and (3) reinforcement of the weakened diaphragmatic area with a double-layer mesh. The patient recovered well postoperatively without complications. The goal of this example is to give a new view of the minimally invasive care of complicated multiple hernias.

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Original publication on Europe PMC: https://europepmc.org/article/MED/41737515