Thoracic versus abdominal approach to correct diaphragmatic eventration in children

Abstract

Background Plication of diaphragm (DP) for eventration (DE) can be done using thoracic or abdominal approaches. The purpose of our study was to compare outcomes between these approaches. Methods Retrospective records of children <16 years who underwent DP (single-centre, 2004-2018) were recorded and analysed. Data are reported as median (range). Results Eighty-nine cases were identified in thoracic (Congenital=5, Acquired=84) and 13 (Congenital=10, Acquired=3) in abdominal group aged 5.

Thoracoscopic plication in an infant with eventration of the diaphragm

“…Obzirom na malu pojavnost bolesti nema randomiziranih kliničkih studija koje bi pokazale prednosti abdominalnog ili torakalnog pristupa. Sistemski pregledi s osvrtom na stopu recidiva kao ishod nisu našli razliku između torakalnog i abdominalnog pristupa (13). Odluka o vrsti plikacije i pristupu ovisi o iskustvu operatera, u našem slučaju uz insuflaciju CO 2 imali smo dovoljno radnog prostora za napraviti invaginirajuću plikaciju ošita pazeći na dubinu uboda kod svakog šava kako bi izbjegli ozljedu intraabdominalnih organa.…”