Analysis of 29 consecutive thoracoscopic repairs of congenital diaphragmatic hernia in neonates compared to historical controls

Cho, S. David; Krishnaswami, Sanjay; McKee, Julie; Zallen, Garret; Silen, Mark L.; Bliss, David

doi:10.1016/j.jpedsurg.2008.10.013

Cited by 102 publications

(109 citation statements)

References 20 publications

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“…Certainly, hypercarbia and acidosis are almost invariable using carbon dioxide insufflation. Nevertheless, recent reports have shown the feasibility and safety of this approach even in unselected groups of patients [78][79][80]. It also seems that, in contrast to the open technique, where the abdominal approach is standard, thoracoscopic repair is somewhat easier.…”

Section: Ers Task Force Report S Kotecha Et Almentioning

confidence: 99%

Congenital diaphragmatic hernia

Kotecha¹,

Barbato²,

Bush³

et al. 2011

Eur Respir J

140

122

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Infants with congenital diaphragmatic hernia (CDH) have significant mortality and long-term morbidity. Only 60-70% survive and usually those in high-volume centres. The current Task Force, therefore, has convened experts to evaluate the current literature and make recommendations on both the antenatal and post-natal management of CDH. The incidence of CDH varies from 1.7 to 5.7 per 10,000 live-born infants depending on the study population. Antenatal ultrasound scanning is routine and increasingly complemented by the use of magnetic resonance imaging. For isolated CDH, antenatal interventions should be considered, but the techniques need vigorous evaluation. After birth, management protocols are often used and have improved outcome in nonrandomised studies, but immediate intubation at birth and gentle ventilation are important. Pulmonary hypertension is common and its optimal management is crucial as its severity predicts the outcome. Usually, surgery is delayed to allow optimal medical stabilisation. The role of minimal invasive post-natal surgery remains to be further defined. There are differences in opinion about whether extracorporeal membrane oxygenation improves outcome. Survivors of CDH can have a high incidence of comorbidities; thus, multidisciplinary follow-up is recommended. Multicentre international trials are necessary to optimise the antenatal and post-natal management of CDH patients.

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Section: Ers Task Force Report S Kotecha Et Almentioning

confidence: 99%

Congenital diaphragmatic hernia

Kotecha¹,

Barbato²,

Bush³

et al. 2011

Eur Respir J

140

122

View full text Add to dashboard Cite

show abstract

“…Defekt çok genişse, onarımda perirenal fasia, torasik ya da abdominal kas flepleri gibi çevre dokular veya sentetik prostetik materyaller kullanılabilir (1,9) . 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) .…”

Section: Doğum Sonrası Tedaviunclassified

Endoscopic approach to diaphragmatic pathologies

Doğruyol¹

2016

Tccd

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“…Defekt çok genişse, onarımda perirenal fasia, torasik ya da abdominal kas flepleri gibi çevre dokular veya sentetik prostetik materyaller kullanılabilir (1,15). Günümüzde diyafram hernisinin hem torakoskopik hem de laparoskopik cerrahi ile onarımı ve buna ait yayınlar giderek artmaktadır (32)(33)(34)(35)(36)(37). Torakoskopik uygulamalarda özellikle sağ taraf hernilerinde yüksek oranda nüks görülmesinin greft kullanılması ile önü alınmıştır (38) Laparoskopik primer onarımda defekt kenarlarındaki seröz membranların çıkarılması ve absorbe olmayan sütürlerle defektin tek tek dikilmesi esastır (Resim 1-5).…”

Section: Doğum Sonrası Tedaviunclassified

Diaphragm Pathologies in Childhood

Doğruyol¹

2014

Toraks Cer Bult

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Analysis of 29 consecutive thoracoscopic repairs of congenital diaphragmatic hernia in neonates compared to historical controls

Cited by 102 publications

References 20 publications

Congenital diaphragmatic hernia

Congenital diaphragmatic hernia

Endoscopic approach to diaphragmatic pathologies

Diaphragm Pathologies in Childhood

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