Traumatic- diaphragmatic hernia

64 years old woman.

Post traumatic left diaphragmatic hernia. whole left side of the diaphragm was torn. Transverse colon, stomach and spleen were in the hernia sac. after dissection of these organs, the hernia sac was closed with w-lac sutures and defect side was cover with mesh. The  anterior border of the mesh was fixed with tacts under the subcostal line. the slit was opened right border of the mesh. and leg of the mesh was passed from the posterior of the esophagus. mesh was fixed the closed diaphragm with Tisseel glue.  prof.dr.metin ertem-istanbul