Early experience with thoracoscopic repair of congenital diaphragmatic hernias in pediatric age group: results and lessons learned

Gupta, Rahul; Parelkar, Sandesh; Oak, Sanjay; Sanghvi, Beejal; Prakash, Avinash; Bachani, Mitesh; Patil, Rajashekhar

doi:10.1007/s00383-010-2827-7

Cited by 12 publications

(6 citation statements)

References 11 publications

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“…Since the first published report of thoracoscopic CDH repair for neonates in 2003, more than 200 cases have been published in the literature [4]. Other reports have supported the feasibility and usefulness of this procedure in neonates [5][6][7][8][9][10]. In 2005, Yang et al proposed selection criteria for thoracoscopic repair.…”

Section: Discussionmentioning

confidence: 99%

Shifting From Laparotomy to Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Neonates: Early Experience

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Shifting From Laparotomy to Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Neonates: Early Experience

et al. 2013

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“…If emergency surgery is performed before respiratory and circulatory function is stable, it can further reduce the compliance of maldeveloped lung, aggravate the damage of lung function, and further reduce the gas exchange function. Therefore, delaying the operation time properly and actively improving its respiratory and circulatory functions before elective surgery can not only increase the tolerance of surgery, but also improve the survival rate [4][5][6][7][8]. Pulmonary hypoplasia and pulmonary hypertension are still the main causes of diaphragmatic hernia death.…”

Section: Discussionmentioning

confidence: 99%

Case Report of Diaphragmatic Hernia with Small Hernia Sac Orifice

Wang

Chen

Zhou

et al. 2020

Preprint

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Background：Congenital diaphragmatic hernia(CDH) is an embryonic stage in which the abdominal organs enter the thoracic cavity under the action of pressure difference between the thoracic and abdominal cavity, resulting in pulmonary hypoplasia due to the dysplasia of the diaphragm and the failure to heal the posterolateral pleura and peritoneum during the development of the diaphragm.Case presentation: A 7-month-old girl was admitted to hospital with the chief complaint of repeated vomiting for 1 day. Diagnosis was established by chest and abdominal radiographs and computerized tomography(CT). During the operation, it was found that there were many contents of intrathoracic hernia, and the hernia sac orifice was small. It was difficult to return them by thoracoscopy,then they were transferred to laparoscopic-assisted content return of diaphragmatic hernia.The patient had a good postoperative result.Conclusion: This is a very rare case of Congenital diaphragmatic hernia with small hernia sac orifice, and it emphasizes the significance of preoperative computerized tomography.

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“…Safe reduction of intra-abdominal organs, tensionless repair of the diaphragmatic defect and suturing are the main challenges in MIS repair of CDH and several innovations have been suggested to facilitate the procedure 6 7. Loss of abdominal domain and difficulty in reducing the hernia contents into the abdomen still remain the main cause of exclusion or conversion of the MIS approach 8. Reduction of intrathoracic contents into the undeveloped abdominal cavity may cause abdominal compartment syndrome, which may aggravate respiratory and haemodynamic conditions and a silastic patch may even be needed to provide additional abdominal space and make a tension-free repair 3.…”

Section: Discussionmentioning

confidence: 99%

Two-stage endoscopic repair of congenital diaphragmatic hernia

Hiradfar

Shojaeian

Fard³

2016

BMJ Case Reports

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Minimally invasive surgery (MIS) in congenital diaphragmatic hernia (CDH) repair has recently been gaining popularity and is the first choice in most departments. Loss of space in an undeveloped abdomen may cause serious problems such as difficult visceral reduction and need for conversion or postoperative complications such as abdominal compartment syndrome. A 4-month-old boy with delayed diagnosis of CDH underwent MIS repair via thoracoscopy, but the abdominal space was not large enough to accept the herniated viscera so a wide transverse fasciotomy was performed via laparoscopy and an iatrogenic ventral hernia induced. The abdomen was distended by pneumoperitoneum, which was retained for 2 days. Finally thoracoscopic CDH repair was completed successfully and the diaphragmatic defect reconstructed by prosthetic patch. Laparoscopic transverse abdominal fasciotomy is suggested as the first step in MIS repair of CDH in an undeveloped abdomen.

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Early experience with thoracoscopic repair of congenital diaphragmatic hernias in pediatric age group: results and lessons learned

Abstract: Thoracoscopic repair is feasible and safe for children with CDH, including selective newborn. The technique causes minimal trauma, results in good respiratory function, and promotes early recovery.

Cited by 12 publications

References 11 publications

Shifting From Laparotomy to Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Neonates: Early Experience

Shifting From Laparotomy to Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Neonates: Early Experience

Case Report of Diaphragmatic Hernia with Small Hernia Sac Orifice

Two-stage endoscopic repair of congenital diaphragmatic hernia

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