HYBRID ABDOMINOTHORACAL OPERATION IN TREATMENT OF A PATIENT WITH CHRONIC POST-TRAUMATIC DIAPHRAGMATIC HERNIA

The paper describes the clinical case of surgical treatment of a patient with chronic posttraumatic diaphragmatic hernia. Patient R., born in 1986, was admitted to the surgical thoracic department with complaints of respiratory failure. History: closed abdominal trauma as a result of an accident more than 10 years ago. The patient underwent a comprehensive examination: X-ray of the chest and abdomen, ultrasound examination of both involved cavities, retrograde contrast irrigography, multispiral computed tomography. Revealed the translocation of the splenic angle of the colon to the level of the dome of the left pleural cavity and total compression atelectasis of the left lung. An objective assessment of the risk of postoperative complications was carried out. After setting the indications for surgery, we underwent a hybrid operation, including laparotomy and transdiaphragmal thoracoscopy, which significantly reduced surgical trauma. An objective assessment of the risks of surgery helped to avoid predictable complications. The result of the surgical treatment was the patient's recovery.

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