A Case of Cardiac Tamponade after Laparoscopic Hiatal Hernia Repair

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  • Matsunami Koshiro
    Department of Surgery, Fujita Health University
  • Shibasaki Susumu
    Department of Surgery, Fujita Health University
  • Umeki Yusuke
    Department of Surgery, Fujita Health University
  • Serizawa Akiko
    Department of Surgery, Fujita Health University
  • Nakauchi Masaya
    Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University
  • Akimoto Shingo
    Department of Surgery, Fujita Health University
  • Tanaka Tsuyoshi
    Department of Surgery, Fujita Health University
  • Inaba Kazuki
    Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University
  • Uyama Ichiro
    Department of Advanced Robotic and Endoscopic Surgery, Fujita Health University Collaborative Laboratory for Research and Development in Advanced Surgical Technology, Fujita Health University
  • Suda Koichi
    Department of Surgery, Fujita Health University Collaborative Laboratory for Research and Development in Advanced Surgical Intelligence, Fujita Health University

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Other Title
  • 腹腔鏡下食道裂孔ヘルニア修復術後に心タンポナーデを発症した1例

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<p>A 70-year-old woman visited our hospital with repeated vomiting for about 2 months. After examination, she was diagnosed with type III hiatal hernia and underwent elective laparoscopic hiatal hernia repair. The crus was closed with suture, followed by reinforcement with a prosthetic mesh and circumferential fixation into the diaphragm using a hernia stapler. On the day after surgery, oxygenation decreased, blood pressure dropped rapidly, and tachycardia was observed. Cardiac tamponade was immediately diagnosed and percutaneous cardiocentesis was performed. On postoperative day 18, the patient developed cardiac tamponade again. The patient was discharged from hospital on postoperative day 45 without recurrence. A retrospective review of the surgical video showed that the patient had a medically-induced cardiac tamponade caused by a hernia stapler with mesh fixation. This disease has an extremely high mortality rate, making it important to prevent its onset by use of correct equipment and to respond promptly to any postoperative abnormalities in vital signs.</p>

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