Early surgical complications after congenital diaphragmatic hernia repair by thoracotomy vs. laparotomy: A bicentric comparison

Bie, Felix De; Suply, E.; Verbelen, Tom; Vanstraelen, Stijn; Debeer, Anne; Cross, Kate; Curry, Joe; Coosemans, Willy; Deprest, Jan; Coppi, Paolo De; Decaluwé, Herbert

doi:10.1016/j.jpedsurg.2019.12.020

Cited by 13 publications

(9 citation statements)

References 35 publications

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“…For infants treated with by laparoscopy the pooled proportion was 0.01 (95% CI 0.01-0.03; n = 7/536; I 2 = 0%; p = 0.00) 18,22,25,26,37,39,40,42,50,51,59,62 . For infants treated by laparotomy the pooled proportion was 0.02 (95% CI 0.01-0.04; n = 26/1098; I 2 = 39%; p = 0.76) 15,17,21,22,28,29,32,33,37,43,45,46,49,52,53,[55][56][57]59,63 . Of the studies that did report on the location of the incision, transverse incision was most reported.…”

Section: Resultsmentioning

confidence: 99%

Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis

Schattenkerk

Musters

Nijssen

et al. 2020

Sci Rep

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Incisional hernia (IH) in children could result in life-threatening complications, including incarceration and bowel strangulation. The incidence and risk factors of IH in infants are scarcely reported. Since IH-correction may require extensive surgery and a long recovery program, identifying infants and birth defects at risk, may lead to a different approach during the primary surgery. Therefore, the aim of this review is to systematically review the available data on the incidence of IH following surgery for congenital anomalies in infants. All studies describing IH were considered eligible. PubMed and Embase were searched and risk of bias was assessed. Primary outcome was the incidence of IH, secondary outcomes were difference in IH occurrence between disease severity (complex vs simple) and closure method (SILO vs primary closure) in gastroschisis patients. A meta-analysis was performed to pool the reported incidences in total and per congenital anomaly separately. Subgroup analysis within gastroschisis articles was performed. The 50 included studies represent 3140 patients. The pooled proportion of IH was 0.03 (95% CI 0.02–0.05; I2 = 79%, p ≤ 0.01) all anomalies combined. Gastroschisis (GS) reported highest pooled proportion 0.10 (95% CI 0.06–0.17; n = 142/1273; I2 = 86%; p ≤ 0.01). SILO closure (OR 3.09) and simple gastroschisis, i.e. without additional anomalies, (OR 0.18) were of significant influence. This review reports the incidence of IH in infants with different congenital abdominal anomalies, of which gastroschisis reported the highest risk. In GS patients, complex GS and SILO closure are risk factors for IH development.

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Section: Resultsmentioning

confidence: 99%

Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis

Schattenkerk

Musters

Nijssen

et al. 2020

Sci Rep

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“…2 However, survival may come at the cost of high medium-to long term morbidity rates including chronic lung disease, variable pulmonary hypertension, gastroesophageal reflux, feeding and growth problems, neurocognitive delay, hearing loss, thoracic deformations, and hernia recurrence. [3][4][5][6][7][8][9][10] For parents of children born with CDH, the most relevant long term morbidity may be neurodevelopmental impairment (NDI).…”

Section: Introductionmentioning

confidence: 99%

Neurodevelopmental outcomes in children with isolated congenital diaphragmatic hernia: A systematic review and meta‐analysis

et al. 2021

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Background: Congenital diaphragmatic hernia (CDH) reportedly has neurologic consequences in childhood however little is known about the impact in isolated CDH.Aims: Herein we aimed to describe the risk of neurodevelopmental complications in children born with isolated CDH. Materials & Methods:We systematically reviewed literature for reports on the neurological outcome of infants born with isolated CDH. The primary outcome was neurodevelopmental delay. Secondary outcomes included, motor skills, intelligence, vision, hearing, language and behavior abnormalities.Results: Thirteen out of 87 (15%) studies reported on isolated CDH, including 2624 out of 24,146 children. Neurodevelopmental delay was investigated in four studies and found to be present in 16% (3-34%) of children. This was mainly attributed to motor problems in 13% (2-30%), whereas cognitive dysfunction only in 5% (0-20%) and hearing in 3% (1-7%). One study assessed the effect of fetal surgery. When both isolated and non-isolated children were included, these numbers were higher. Discussion: This systematic review demonstrates that only a minority of studies focused on isolated CDH, with neurodevelopmental delay present in 16% of children born with CDH. Conclusion:To accurately counsel patients, more research should focus on isolated CDH cases and examine children that underwent fetal surgery. Lennart Van der Veeken and Simen Vergote shared first authorship. #Jan Deprest and Matteo Bruschettini shared last authorship.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…Others are generally related to the severity of the disease, such as prolonged invasive respiratory support, need for intensive care, longer duration of mechanical ventilation, postoperative sildenafil requirement, longer length of stay (LOS), age at discharge, supplemental oxygen requirement, persistent pulmonary hypertension. And others still, like thoracotomy and MIS, are related to surgical choice (12,17,(23)(24)(25).…”

Section: Postnatalmentioning

confidence: 99%

Recurrence of Congenital Diaphragmatic Hernia: Risk Factors, Management, and Future Perspectives

et al. 2022

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Recurrence is one of the most common surgical complications in Congenital Diaphragmatic Hernia (CDH). It could remain clinically silent for a long time or present as an acute complication week, months, or even years after the primary surgery. Several risk factors have been identified so far. An extended diaphragmatic defect represents one of the leading independent risk factors, together with indirect signs of large defect such as the liver position related to the diaphragm and the use of the prosthetic patch and with the use of a minimally invasive surgical (MIS) approach. However, the exact contribution of each factor and the overall risk of recurrence during the life span still need to be fully understood. This mini-review aims to give an overview of the current knowledge regarding CDH recurrence, focusing on predisposing factors, clinical presentation, management and follow-up of high-risk patients, and future perspectives.

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Early surgical complications after congenital diaphragmatic hernia repair by thoracotomy vs. laparotomy: A bicentric comparison

Abstract: Members of the European Reference Network on Inherited and Congenital Anomalies of the thorax (ERNICA).

Cited by 13 publications

References 35 publications

Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis

Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis

Neurodevelopmental outcomes in children with isolated congenital diaphragmatic hernia: A systematic review and meta‐analysis

Recurrence of Congenital Diaphragmatic Hernia: Risk Factors, Management, and Future Perspectives

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