Unilateral agenesis of the diaphragm

Valente, A. C. B.; Brereton, R.J.

doi:10.1016/s0022-3468(87)80652-8

Cited by 25 publications

(6 citation statements)

References 22 publications

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“…As yet the question of whieh kind of foreign material should be employed for patching remains unanswered, not only in eonsideration of reeurrenees, but also in view of the fate of the pateh with growth (3,8,14,15). At this momentit eanbe questioned,if Lyodura still is an option: there is doubt, whether Lyodura ean transmit BSE.…”

Section: Kind Of Pros-mentioning

confidence: 99%

Recurrent Congenital Diaphragmatic Hernia; Which Factors are Involved?

Hajer

Staak²,

Haan³

et al. 1998

Eur J Pediatr Surg

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The medical records of 66 surviving children born with congenital posterolateral diaphragmatic hernia (CDH) were reviewed to determine which factors are involved in the development of a recurrent hernia. Fifty-seven patients had a left-sided defect and 9 patients had a right sided defect. In 54 patients the defect was closed primarily and 12 patients required a prosthetic patch. Nine of the 66 patients (14%)--5 patients (9%) with a left-sided defect and 4 patients (44%) with a right-sided defect--developed a recurrent hernia on the average of 4.0 months (range 0.2-6.9) after the initial repair. Except for one, all patients with a recurrence presented with dyspnoea (n = 5) and/or feeding problems (n = 6). Of these 9 recurrences 4 patients (7%) had primary closure of the defect and in 5 patients (42%) a prosthetic patch was required. Four of the 11 patients (36%) who needed extracorporeal membrane oxygenation (ECMO) had a recurrence versus 5 patients (9%) who were conventionally treated. A hernial sac was found in 4 patients during the repair of the recurrent hernia. In 3 of them the initial defect was closed primarily. In conclusion, large-patch repaired defects and right-sided defects are risk factors for the development of a recurrent hernia. Furthermore the lack of a biological union between the sutured patch and the diaphragm tissue remnants is likely to be the cause of a reherniation. Meticulous inspection for a hernial sac during the initial operation could reduce the incidence of a reherniation.

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Section: Kind Of Pros-mentioning

confidence: 99%

Recurrent Congenital Diaphragmatic Hernia; Which Factors are Involved?

Hajer

Staak²,

Haan³

et al. 1998

Eur J Pediatr Surg

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“…Prosthetic materials, including polypropylene mesh (Marlex) [58], polytetrafluoroethylene (PTFE) patch (Goretex) [59], expanded polytetrafluoroethylene (ePTFE) [60], and polyethylene terephthalate mesh (Dacron) [61] have been used for repair of large congenital diaphragmatic hernias. Others that have reportedly used Surgisis [62], dura [63], bovine pericardium [64], autologous tissues such as fascia [65] or muscle flaps [66–68].…”

Section: Resultsmentioning

confidence: 99%

Congenital Diaphragmatic Hernia: Review of Current Concept in Surgical Management

Kesieme

2011

ISRN Surgery

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Congenital diaphragmatic hernias (CDHs) occur mainly in two locations: the foramen of Morgagni and the more common type involving the foramen of Bochdalek. Hiatal hernia and paraesophageal hernia have also been described as other forms of CDH. Pulmonary hypertension and pulmonary hypoplasia have been recognized as the two most important factors in the pathophysiology of congenital diaphragmatic hernia. Advances in surgical management include delayed surgical approach that enables preoperative stabilization, introduction of fetal intervention due to improved prenatal diagnosis, the introduction of minimal invasive surgery, in addition to the standard open repair, and the use of improved prosthetic devices for closure.

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“…At the same time, experts' recommendations state that timely and adequate preoperative preparation and radical surgical treatment of newborns with AD can save their lives [5,7,20,21]. Valente A, Brereton RJ (1987) noted that the survival rate among 37 treated children with diaphragmatic hernias over 4.5 years was 68%, while in the group of children with AD this number was even lower: only 4 out of 10 treated patients survived [20].…”

Section: Discussionmentioning

confidence: 99%

Agenesis of the Diaphragm: A Case Report and a Brief Literature Review

TURAKULOV¹,

BARATOV²

2022

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Objective: Agenesis of the diaphragm (AD) in adults is an extremely rare congenital malformation. To date, only a few descriptions of this pathology have been published in the scientific literature. The article presents a case of detection of a left-sided AD in a 25-year-old patient operated on for diaphragmatic relaxation. Additional examination methods, including echocardiography and ultrasonography of the abdominal organs and retroperitoneal space, did not reveal any other malformations in this patient. Due to the lack of plastic material of the appropriate size and type, plastic replacement of the diaphragm was postponed to the second stage of surgery. Keywords: Congenital malformations, anomalies of the diaphragm, aplasia of the diaphragm, agenesis of the diaphragm, agenesis of the diaphragm in adults, diaphragmatic hernia, plastic surgery of the diaphragm.

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Unilateral agenesis of the diaphragm

Cited by 25 publications

References 22 publications

Recurrent Congenital Diaphragmatic Hernia; Which Factors are Involved?

Recurrent Congenital Diaphragmatic Hernia; Which Factors are Involved?

Congenital Diaphragmatic Hernia: Review of Current Concept in Surgical Management

Agenesis of the Diaphragm: A Case Report and a Brief Literature Review

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