Congenital Eventration of the Diaphragm

Thomas, Thomas V.

doi:10.1016/s0003-4975(10)65584-1

Cited by 74 publications

(32 citation statements)

References 29 publications

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“…Embryologically, the etiology of CDE is postulated as the abnormal migration of myoblasts from the upper cervical somites into two of the four embryological structures that contribute to diaphragm development such as septum transversum (beginning at 4 weeks of gestation) and pleuroperitoneal membrane (at 8 to 12 weeks of gestation) [7,8]. Thomas hypothesized the involvement of impaired growth of myoblast into pleuroperitoneal membrane, when the abdominal viscera return to the peritoneal cavity prematurely [9]. In the present study, most symptomatic patients with CDE had diffuse fibroelastic changes and paucity of muscle fibers.…”

Section: Discussionmentioning

confidence: 99%

“…In the diffuse variety, the diaphragm consists of a thin, diaphanous membrane that is attached peripherally to the normal muscle. Partial defects mostly affect the right hemidiaphragm (65%) [9], while diffuse defects tend to be unilateral and more commonly affect the left side. But, there were more cases affecting the right side than left (124 vs. 52, the left: right ratio of 0.42:1).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Congenital diaphragmatic eventration in children: 12years' experience with 177 cases in a single institution

Wu¹,

Zang²,

Zhu³

et al. 2015

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Congenital diaphragmatic eventration in children: 12years' experience with 177 cases in a single institution

Wu¹,

Zang²,

Zhu³

et al. 2015

Journal of Pediatric Surgery

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“…In some cases, it may be difficult or impossible to distinguish from diaphragmatic paralysis. Complete eventration almost invariably occurs on the left side [5] and is rare on the right [6]. There are very few cases of the right-sided diaphragmatic hernia reported in adults in the literature.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Repair of Congenital Diaphragmatic Hernia in Adults

Saroj

Kumar

Afaque

et al. 2016

Minimally Invasive Surgery

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Background, Aims, and Objectives. Congenital diaphragmatic hernia typically presents in childhood but in adults is extremely rare entity. Surgery is indicated for symptomatic and asymptomatic patients who are fit for surgery. It can be done by laparotomy, thoracotomy, thoracoscopy, or laparoscopy. With the advent of minimal access techniques, the open surgical repair for this hernia has decreased and results are comparable with early recovery and less hospital stay. The aim of this study is to establish that laparoscopic repair of congenital diaphragmatic hernia is a safe and effective modality of surgical treatment. Materials and Methods. A retrospective study of laparoscopic diaphragmatic hernia repair done during May 2011 to Oct 2014. Total n = 13 (M/F: 11/2) cases of confirmed diaphragmatic hernia on CT scan, 4 cases Bochdalek hernia (BH), 8 cases of left eventration of the diaphragm (ED), and one case of right-sided eventration of the diaphragm (ED) were included in the study. Largest defect found on the left side was 15 × 6 cm and on the right side it was 15 × 8 cm. Stomach, small intestine, transverse colon, and omentum were contents in the hernial sac. The contents were reduced with harmonic scalpel and thin sacs were usually excised. The eventration was plicated and hernial orifices were repaired with interrupted horizontal mattress sutures buttressed by Teflon pieces. A composite mesh was fixed with nonabsorbable tackers. All patients had good postoperative recovery and went home early with normal follow-up and were followed up for 2 years. Conclusion. The laparoscopic repair is a safe and effective modality of surgical treatment for congenital diaphragmatic hernia in experienced hands.

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“…1 Clinically, eventration of diaphragm refers to an abnormal elevation of one leaf of an intact diaphragm as a result of paralysis, fibrosis, aplasia, or atrophy of varying degrees of muscle fibers. 2 It is usually unilateral, may present at any age, and is more common in male. It can be of two types, partial and complete.…”

Section: Introductionmentioning

confidence: 99%