{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:55Z","timestamp":1787762095990,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spontaneous diaphragmatic hernias (DHs) are uncommon, yet potentially hazardous. To prevent consequences, timely diagnosis and treatment are necessary. A 54-year-old male presented to the emergency room with dyspnoea, cough and tachycardia; he had no history of trauma. Diagnostic imaging revealed a substantial left DH, indicating the need for surgical intervention. The intraoperative examination identified a transverse colon and omentum herniation. Dissection, reduction of the contents, primary sutures of the defect and dual mesh reinforcement accomplished the laparoscopic and thoracoscopic DH repair. This case underscores the importance of timely detection, precise surgical intervention and comprehensive post-operative monitoring when utilising a multidisciplinary approach to manage DHs. It serves as a reminder to exercise caution regarding DHs, particularly in circumstances devoid of traumatic aetiology and the benefits of combined laparoscopic and thoracoscopic approaches.<\/jats:p>","DOI":"10.4103\/jmas.jmas_93_24","type":"journal-article","created":{"date-parts":[[2024,8,3]],"date-time":"2024-08-03T02:03:26Z","timestamp":1722650606000},"page":"411-413","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Giant left spontaneous diaphragmatic hernia repair via combined laparoscopic and thoracoscopic approaches"],"prefix":"10.4103","volume":"21","author":[{"given":"Walid M. Abd","family":"El Maksoud","sequence":"first","affiliation":[{"name":"Department of General Surgery, College of Medicine, King Khalid University, Abha, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"R1-20251014","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1111\/ases.13241","article-title":"Laparoscopic-assisted thoracoscopic repair of latent traumatic diaphragmatic hernia:A case report","volume":"16","author":"Yoshimine","year":"2023","journal-title":"Asian J Endosc Surg"},{"key":"R2-20251014","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1186\/s40792-021-01294-5","article-title":"Combined laparoscopic and thoracoscopic surgical repair of Bochdalek hernia in an adult:A case report","volume":"7","author":"Nambara","year":"2021","journal-title":"Surg Case Rep"},{"key":"R3-20251014","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.18203\/2349-2902.isj20201882","article-title":"Thoraco-laparoscopic management of diaphragmatic hernia of adults:A case series","volume":"7","author":"Gander","year":"2020","journal-title":"Int Surg J"},{"key":"R4-20251014","first-page":"D04","article-title":"Delayed diagnosis of left-sided diaphragmatic hernia in an elderly adult with no history of trauma","volume":"10","author":"Katukuri","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R5-20251014","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/j.jpedsurg.2010.11.048","article-title":"Early recurrence of congenital diaphragmatic hernia is higher after thoracoscopic than open repair:A single institutional study","volume":"46","author":"Gander","year":"2011","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_93_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:14:05Z","timestamp":1787760845000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_93_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,30]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_93_24","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,30]]},"assertion":[{"value":"2024-04-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}