Abstract
Background: Congenital diaphragmatic hernia (CDH) is a relatively common congenital anomaly, typically requiring repair in the neonatal period. Approaches to surgical repair of a CDH are varied. A small defect may be repaired primarily while a large defect often requires a patch repair. Minimally invasive and open techniques have been reported to have varying benefits and outcomes. Materials and Methods: The authors describe their technique of CDH repair and present a review of the literature. Results: In a stabilized neonate with a small-To-moderate CDH defect, a thoracoscopic primary repair with biological mesh underlay (or a patch repair if needed to reduce tension) represents our approach of choice to treat this pathology. However, attention to specific technical details is required to minimize incidence of recurrence. Conclusions: The data favor a minimally invasive approach to CDH repair in the appropriate patients.
Original language | English (US) |
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Pages (from-to) | 1168-1174 |
Number of pages | 7 |
Journal | Journal of Laparoendoscopic and Advanced Surgical Techniques |
Volume | 31 |
Issue number | 10 |
DOIs | |
State | Published - Oct 2021 |
Externally published | Yes |
Keywords
- congenital diaphragmatic hernia
- neonatal
- thoracoscopy
ASJC Scopus subject areas
- Surgery