{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:32:10Z","timestamp":1772987530644,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":50,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Transdiaphragmatic intercostal hernia is a rare condition that presents unique management challenges. We describe a 68\u2010year\u2010old morbidly obese male (BMI 40) with multiple comorbidities who underwent successful hybrid laparoscopic and open repair of a right transdiaphragmatic intercostal hernia. The hernia developed following blunt trauma 5\u2009years earlier, which caused fractures of the right 4th\u20137th ribs. The patient presented with a swelling in the right flank region. CT imaging revealed a 5.9\u2010cm diaphragmatic defect and a 10.6\u2009\u00d7\u200911.9\u2009cm intercostal defect containing small and large bowels, and omentum. Preoperative optimization included a very low\u2010calorie diet and stabilization of diabetes, hypertension, and dyslipidemia. Surgery involved lateral decubitus positioning, customized laparoscopic port placement, an additional incision for defect closure, and laparoscopic onlay mesh placement. Recovery was uneventful, with discharge on postoperative Day 5 and no recurrence at 6\u2009months. This case underscores the importance of meticulous preparation and hybrid techniques in managing complex hernias.<\/jats:p>","DOI":"10.1111\/ases.70034","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T20:31:21Z","timestamp":1740083481000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hybrid Laparoscopic and Open Repair of a Transdiaphragmatic Intercostal Hernia: A Case Report"],"prefix":"10.1111","volume":"18","author":[{"given":"Amirah Lofti","family":"Hanis","sequence":"first","affiliation":[{"name":"Department of General Surgery Hospital Umum Sarawak, Ministry of Health Malaysia  Kuching Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0341-5183","authenticated-orcid":false,"given":"Sze Li","family":"Siow","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital Umum Sarawak, Ministry of Health Malaysia  Kuching Malaysia"},{"name":"Department of Surgery Fakulti Perubatan dan Sains Kesihatan, Universiti Malaysia Sarawak  Kota Samarahan Malaysia"},{"name":"Department of Surgery Taylor's University School of Medicine  Subang Jaya Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidi","family":"Nurazim","sequence":"additional","affiliation":[{"name":"Department of General Surgery Hospital Umum Sarawak, Ministry of Health Malaysia  Kuching Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izzat Asyraf","family":"Kamaruzaman","sequence":"additional","affiliation":[{"name":"Department of Radiology Hospital Umum Sarawak, Ministry of Health Malaysia  Kuching Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.15190\/d.2021.2"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/7416092"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-13-00272.1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200106000-00026"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-015-0780-8"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz020"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-023-02320-3"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjrcr.20190061"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/s0102-67202015000100024"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-004-0243-4"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70034","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ases.70034","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.70034","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:02:13Z","timestamp":1772967733000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.70034"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/ases.70034"],"URL":"https:\/\/doi.org\/10.1111\/ases.70034","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-12-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70034"}}