Minimal Access Surgery for Repair of Congenital Diaphragmatic Hernia: Is it Advantageous?—An Open Review

Abstract

We demonstrate that MAS for diaphragmatic hernia appears to be safe in terms of complications and mortality. Besides, it is associated with faster postoperative recovery. Growing experience with this technique is expected to lower the recurrence risk and to shorten the operative time. These findings should be interpreted cautiously because of methodological limitations of the studies included. Selection criteria used in various studies are associated with an important risk of selection bias. Nonetheless, these criteria can be used to identify patients who will benefit most from MAS.

Standardized Postnatal Management of Infants with Congenital Diaphragmatic Hernia in Europe: The CDH EURO Consortium Consensus - 2015 Update

“…Minimal access surgery is gaining ground on the open approach (thoracotomy or laparotomy) [56]. Minimal access surgery has esthetic advantages and may be performed in patients with a left-sided defect and liver down, but carries a significantly higher risk of recurrence [56,57].…”

“…Minimal access surgery is gaining ground on the open approach (thoracotomy or laparotomy) [56]. Minimal access surgery has esthetic advantages and may be performed in patients with a left-sided defect and liver down, but carries a significantly higher risk of recurrence [56,57]. There is also concern about absorption of CO 2 used for insufflation in minimal access surgery [58], and CO 2 insufflation pressures should therefore be minimized.…”

Surgical approaches for neonatal congenital diaphragmatic hernia: a systematic review and meta-analysis

“…After screening the remaining 38 studies based on their full texts, 14 studies were included in the qualitative synthesis [8][9][10][11][12][13][14][15][16][17][18][19][20][21]. Furthermore, eight observational studies [14][15][16][17][18][19][20][21] published between 2009 and 2013 were included in the quantitative synthesis ( Fig.…”

“…There were five systematic reviews [8][9][10][11][12], including the Interventional Procedure Guidance by the National Institute for Health and Clinical Excellence [9]. Of these systematic reviews, four included both neonates and infants/ childhood cases [9][10][11][12], while only one systematic review was specific to neonates [8].…”

“…Of these systematic reviews, four included both neonates and infants/ childhood cases [9][10][11][12], while only one systematic review was specific to neonates [8]. However, this neonate-specific systematic review included only three studies; the five newly reported studies were not included.…”