2002
DOI: 10.1089/109264202760268078
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Laparoscopic Repair of Congenital Diaphragmatic Hernias

Abstract: Most Morgagni and Bochdalek hernias are found and repaired in children, but 5% are found in adults. Symptoms of these hernias are attributable to the involved viscera. Both hernias require repair on presentation because of the risk of incarceration. We describe a laparoscopic method of repairing these hernias that allows shorter recovery than open surgery.

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Cited by 20 publications
(12 citation statements)
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“…The patient is placed in reverse Trendelenburg position and three to five ports are placed with an orientation similar to that for a laparoscopic Nissen fundoplication or other upper abdominal surgery. It is important not to place trocars too close to the costal margin [94]. Management of the hernia sac has already been discussed.…”
Section: Discussionmentioning
confidence: 99%
“…The patient is placed in reverse Trendelenburg position and three to five ports are placed with an orientation similar to that for a laparoscopic Nissen fundoplication or other upper abdominal surgery. It is important not to place trocars too close to the costal margin [94]. Management of the hernia sac has already been discussed.…”
Section: Discussionmentioning
confidence: 99%
“…Laparoscopic repair is favored in adults especially in non-acute cases. Richardson describes it as a new method of repairing CMH, with improvements in laparoscopic hernia treatment allowing for shorter recovery times than open surgery [13].…”
Section: Discussionmentioning
confidence: 99%
“…However, cases have been reported outside this age group, usually in adults with non-specific or no symptoms (5,(11)(12)(13). In Spain, the frequency (14) of a hernia or diaphragmatic agenesis diagnosis in the first three days of life was reported to be 2.…”
Section: Introductionmentioning
confidence: 99%
“…Most published cases of MH and BH diagnosis and repair are in children, with only 5 per cent being reported in adults (12). Although a diaphragmatic dysgenesis is widely considered to be the origin of CDH, only 10 per cent of CDH patients were found to have chromosomal anomalies (17).…”
Section: Introductionmentioning
confidence: 99%