Thoracoscopic repair in congenital diaphragmatic hernia: patching is safe and reduces the recurrence rate

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

“…Among the seven observational studies that clearly described completion rates, only one study presented the recurrence rate in the ES group by counting the completed cases [17]. In the other six studies, the calculation of recurrence rates in the ES group included cases with conversion to OS [14][15][16][18][19][20][21]. Therefore, the recurrence rate in the ES group could have been underestimated.…”

“…There was very serious risk of bias due to inappropriate patient selection, unequal follow-up durations, and the absence of controlling for confounding. Particularly, selection bias cannot to be ignored; patients who underwent ES were selected by their surgeons or according to facility criteria in six of the studies [16][17][18][19][20][21]. Therefore, the ES groups potentially included milder cases, as compared with the OS groups.…”

“…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. 1).…”

“…The eight observational studies were included in a quantitative synthesis [14][15][16][17][18][19][20][21]. The eight studies included a total of 4698 patients, of whom 288 belonged to ES groups and 4410 belonged to OS groups.…”

Endoscopic approach to diaphragmatic pathologies

“…Günümüzde diyafragma hernisinin laparoskopik ve torakoskopik cerrahi ile onarımı yaygındır (20)(21)(22)(23)(24)(25) . Torakoskopik uygulamalarda özellikle sağ taraf hernilerinde yüksek oranda nüks görülmesinin greft kullanılması ile önü alınmıştır (26) . Laparaskopik onarımda defekt kenarlarındaki seröz membranlar çıkarılır, absorbe olmayan sütürlerle tek tek onarılır (Şekil 1-6).…”