{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:08:19Z","timestamp":1773198499126,"version":"3.50.1"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adult right-sided Bochdalek hernia is extremely rare and poses unique perioperative nursing challenges, especially with intrathoracic displacement of abdominal organs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 19-year-old male presented with exertional dyspnea. Imaging revealed a giant right-sided diaphragmatic hernia containing part of the liver, gallbladder, and colon, with approximately 70% compression of the right lung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>A multidisciplinary team developed individualized perioperative plans. Prehabilitation based on self-efficacy theory was implemented, including respiratory training, nutritional support. During surgery, a surgical risk early-warning and rapid response system was established. Precise intraoperative pressure injury risk assessment and dynamic positioning management were implemented. Continuous dynamic temperature monitoring and individualized target temperature management were applied to prevent perioperative hypothermia. Postoperative care focused on airway management,sequential respiratory support, early gastrointestinal function monitoring, and progressive pulmonary rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The patient was discharged after 32\u202fdays without major complications. Follow-up at 3, 6, and 12\u202fmonths showed full recovery and no recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Comprehensive, individualized perioperative nursing interventions can optimize recovery and outcomes in complex adult right-sided diaphragmatic hernia repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2026.1809018","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:43:27Z","timestamp":1773125007000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative nursing management of an adult patient with giant right-sided Bochdalek hernia: a case report"],"prefix":"10.3389","volume":"13","author":[{"given":"Xiaohui","family":"Yang","sequence":"first","affiliation":[{"name":"Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunping","family":"Sun","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuhan","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinxin","family":"Chen","sequence":"additional","affiliation":[{"name":"Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhihui","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meng","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sha","family":"Li","sequence":"additional","affiliation":[{"name":"Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ai","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1007\/s00431-008-0904-x","article-title":"Congenital diaphragmatic hernia: current status and review of the literature","volume":"168","author":"de Buys Roessingh","year":"2009","journal-title":"Eur J Pediatr"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1016\/j.suc.2022.07.007","article-title":"Congenital diaphragmatic hernia: considerations for the adult general 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