Biologic Mesh Augmentation for Repairing Diaphragmatic Hernia

Juno Yoo, Chung Sik Gong, Ba Ool Seong, Chang Seok Ko, Sa-Hong Min, In-Seob Lee, Moon-Won Yoo, Jeong Hwan Yook, Beom Su Kim

J Surg Innov Educ. 2025;2(1):9-13.   Published online June 24, 2025

DOI: https://doi.org/10.69474/jsie.2025.00045

• 0 View
• 2 Download

Abstract PDF

Diaphragmatic hernias, whether congenital or acquired, often require surgical intervention to prevent life-threatening complications. The use of biologic mesh has gained increasing attention due to its favorable integration with host tissue and lower recurrence rates. This article presents a reproducible and effective method for diaphragmatic hernia repair using a biologic mesh via a laparoscopic approach. The technique emphasizes anatomical restoration and durable fixation, while minimizing tension and postoperative complications.

Gastrointestinal

Laparoscopic Paraaortic Lymph Node Sampling in Gastric Cancer Patients with Suspected Paraaortic Lymph Node Metastasis

Ba Ool Seong, Ju No Yoo, Chang Seok Ko, Sa-Hong Min, Chung Sik Gong, In-Seob Lee, Moon-Won Yoo, Jeong Hwan Yook, Beom Su Kim

J Surg Innov Educ. 2024;1(2):34-38.   Published online December 27, 2024

DOI: https://doi.org/10.69474/jsie.2024.00206

• 0 View
• 21 Download

Abstract PDF

D2 lymphadenectomy is the standard approach for lymph node dissection in curable gastric cancer. However, paraaortic lymph node (PALN) dissection in addition to D2 lymphadenectomy has not been shown to improve survival rates and is therefore not routinely performed. Nevertheless, PALN sampling may be indicated for diagnostic purposes because it can provide critical information for accurate staging and treatment planning. Laparoscopic PALN sampling, however, poses significant challenges due to limited accessibility and visibility in the paraaortic region. Moreover, the proximity of major blood vessels, such as the abdominal aorta and renal vein, is another difficult aspect of the procedure. In this context, we present two cases to demonstrate practical strategies for facilitating laparoscopic PALN sampling. The procedure can be effectively performed by first identifying the ligament of Treitz and then, when necessary, fixing the small bowel mesentery to the abdominal wall using a tagging suture so that there is adequate vision and enough working space. This enables careful and precise dissection of the target tissue without compromising the feasibility and safety of the operation.