Video-Assisted Thoracoscopic Surgery Repair of Diaphragmatic Hernia With Prolene Mesh After Microwave Ablation
Year: 2025
Type: article
Study design: Case Report
Abstract: Microwave ablation (MWA) is one of the minimally invasive techniques utilized in the treatment of hepatocellular carcinoma (HCC). MWA has become an increasingly popular and comparable alternative therapy to radiofrequency ablation (RFA) with similar major complication and mortality rates. Diaphragmatic hernia is a rare complication of MWA. Current literature has very few reports on the management of such complications. This article describes a case of multifocal HCC treated with MWA, complicated by pleural effusion and diaphragmatic herniation of the omentum into the right intrathoracic cavity. The surgical repair of the diaphragmatic defect was performed via video-assisted thoracoscopic surgery (VATS) approach with Prolene mesh reinforcement. Further studies are needed for evaluation of the best surgical approach to manage post-MWA-related diaphragmatic hernias.
Source: Cureus
DOI: 10.7759/cureus.80866
Authors: Audrey Poh Poh Tan, Cynthia Ming Li Chia
Institution: Singapore General Hospital
Language: English
Topic: Hernia repair and management
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4408671997