# Abdominal Compartment Syndrome Following Paraesophageal and Diaphragmatic Hernia Repair

## TL;DR

This paper reports a rare case of abdominal compartment syndrome after hernia repair, highlighting the need for preventive measures in certain patients.

## Contribution

The paper reports the first case of postoperative abdominal compartment syndrome following repair of paraesophageal and Morgagni diaphragmatic hernias.

## Key findings

- Abdominal compartment syndrome can occur after laparoscopic repair of large paraesophageal hernias and Morgagni CDHs.
- Prophylactic omentectomy may be considered to prevent this rare complication in select patients.

## Abstract

Abdominal compartment syndrome (ACS) is defined as a sustained intra-abdominal pressure ≥ 20 mm Hg, associated with new organ dysfunction. Postoperative ACS can occur following repair of hernias with loss-of-domain. Such loss-of-domain hernias are well described involving incisional hernias, less described involving Bochdalek congenital diaphragmatic hernias (CDHs), but not yet described involving paraesophageal hernias (PEHs) or Morgagni CDHs. We describe a case of postoperative ACS following laparoscopic repair of a PEH and Morgagni CDH. This case demonstrates that prophylactic omentectomy should be considered in select patients undergoing repair of large PEHs or CDHs, as ACS is a rare but potential complication.