A single-port video-assisted thoracoscopic surgery with CO₂ insufflation for traumatic diaphragmatic hernia

In this article, we present 2 cases with successful reduction of herniated organs and repair of a ruptured diaphragm through a single-port video-assisted thoracoscopic surgery (VATS) approach using CO₂ gas insufflation in haemodynamically stable patients. A CO₂ insufflation was useful to push the diaphragm down and aided in reducing the size of the herniated organ. This approach did not cause damage to the herniated organs and no additional instrument or assistant was required. Thus, CO₂ insufflation makes the single-port VATS procedure easier even in haemodynamically stable trauma patients.