Laparoscopic repair of diaphragmatic hernia associating with radiofrequency ablation for hepatocellular carcinoma: A case report

Figure 4 Surgical findings. A: The small intestine had migrated through the diaphragmatic defect and was incarcerated in the right thorax; B: The small intestine was pulled back gently into the abdominal cavity by using laparoscopic bowel-grasping forceps; C: The size of the hernia orifice was estimated to be approximately 5 cm in diameter; D: The scar on the liver resulting from the first RFA was found to be close to the hernia opening (arrowheads). The defect was repaired using synthetic non-absorbable monofilament polypropylene sutures in the running fashion.