Laparoscopic patch repair of diaphragmatic hernias with Surgisis

Holcomb, George; Ostlie, Daniel J.; Miller, Kelly A.

doi:10.1016/j.jpedsurg.2005.05.028

Cited by 48 publications

(16 citation statements)

References 11 publications

(22 reference statements)

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“…Existing reports supporting the use of SIS for CDH repair do not examine results beyond 1 to 2 years of age [5,18,19]. Although the recurrence rate in our cohort was high among all patch types as compared with primary hernia closure, nearly a third of patients who had an SIS repair had a recurrence within 6 months, which was strikingly higher than the incidence for other repair types.…”

Section: Discussioncontrasting

confidence: 65%

Long-term surgical outcomes in congenital diaphragmatic hernia: observations from a single institution

Jancelewicz

Keller

et al. 2010

Journal of Pediatric Surgery

122

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Section: Discussioncontrasting

confidence: 65%

Long-term surgical outcomes in congenital diaphragmatic hernia: observations from a single institution

Jancelewicz

Keller

et al. 2010

Journal of Pediatric Surgery

122

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“…Ever since these first reports, the benefits of MIS for late-presenting CDH have been described, but very few neonatal cases have been reported [5][6][7][8][9][10][11][12]. The use of MIS for those fragile patients remains controversial.…”

mentioning

confidence: 99%

Neonatal minimally invasive surgery for congenital diaphragmatic hernias: a multicenter study using thoracoscopy or laparoscopy

Ferreira

Reinberg²,

Baudin

et al. 2009

Surg Endosc

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In the neonatal period, CDH can be safely closed using MIS procedures. The overall success rate in this study was 67%. The indication for MIS is not related to weeks of gestational age, to weight at birth (if >2,600 g), or to the extent of the immediate neonatal care. Patients with no associated anomaly who are hemodynamically stabilized can benefit from MIS procedures. Reduction of the herniated organs is easier using thoracoscopy. Right CDH, liver lobe herniation, and the need for a patch closure are the most frequent reasons for conversion.

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“…In a recent review of the CDHR, prospectively collected operative data on more than 4000 live inborn infants with CDH suggest that the operative approach included open abdominal and thoracic approaches as well as laparoscopic and thoracoscopic strategies [1]. Although several centers have reported their success with laparoscopic [3,4] and thoracoscopic [5][6][7][8][9][10] modalities for the repair of the neonatal CDH, current evidence comparing the outcomes open to MIS repairs of CDH has been limited to retrospective reviews and case series. Landsale et al [11] recently published a systematic review and meta-analysis of neonatal endosurgical repairs of CDH.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive repair of congenital diaphragmatic hernia

Tsao¹,

Lally²,

Lally³

2011

Journal of Pediatric Surgery

131

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Purpose Operative approach, including minimally invasive surgery (MIS) in the repair of congenital diaphragmatic hernia (CDH), is variable among institutions. The short-term recurrent hernia rate is not well described. We evaluated the in-hospital recurrence rate of MIS repairs of infants with CDH from the Congenital Diaphragmatic Hernia Registry (CDHR). Methods Prospectively collected data from CDH infants were analyzed from the CDHR from January 1995 to January 2010. Recurrent hernia was defined as reoperations during initial hospitalization. Operative approaches included abdominal, thoracic, laparoscopic, and thoracoscopic techniques. Results 5,480 infants with CDH were identified of which 4,516 (82.4%) were repaired. Operative data was available in 4,390 infants. One hundred fifty-one infants (3.4%) underwent MIS repairs with twelve reported recurrences (7.9%) compared to one hundred fourteen for open techniques (2.7%, p < 0.05). MIS demonstrated a significant increased odds for recurrence (OR 3.59, 95% CI:1.92 – 6.71) after adjusting for gestational age, birth weight, patch repair, and ECMO. Conclusion Minimally invasive techniques appear to have a significant higher recurrent hernia rate with thoracoscopy being the highest. Although adjusted for patch repair, other factors with regards to disease severity may contribute to differences in outcomes among centers. This study is limited to short-term recurrence during initial hospitalization.

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Laparoscopic patch repair of diaphragmatic hernias with Surgisis

Cited by 48 publications

References 11 publications

Long-term surgical outcomes in congenital diaphragmatic hernia: observations from a single institution

Long-term surgical outcomes in congenital diaphragmatic hernia: observations from a single institution

Neonatal minimally invasive surgery for congenital diaphragmatic hernias: a multicenter study using thoracoscopy or laparoscopy

Minimally invasive repair of congenital diaphragmatic hernia

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