Laparoscopic repair of congenital diaphragmatic hernia in a 6-month-old child

Zee, David C. van der; Bax, N. M. A.

doi:10.1007/bf00188460

Cited by 92 publications

(36 citation statements)

References 4 publications

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“…The first report of laparoscopic diaphragmatic hernia repair was in 1995 on a 6-month-old-infant [29]. Since then, this procedure has been performed by both the laparoscopic and thoracoscopic routes [30].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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The aim of this study was to assess the feasibility of complex minimally invasive surgery in neonates (and infants <5 kg). A systematic search of databases was performed. Inguinal herniotomy and pyloromyotomy were specifically excluded. Various operations were assessed for operative times, conversion rates, complications and centres performing the procedures. From 479 abstracts, 50 papers were identified describing 1,215 patients. Common operations performed were fundoplication (n = 473), operations for ovarian pathology (n = 151) and oesophageal atresia repair (n = 123). Other not-so-common operations included Kasai procedure (n = 61), Ladd's procedure (n = 55), bowel atresia surgery (n = 45) and congenital diaphragmatic hernia repair (n = 41). Mean operation times varied from 43 min for fundoplication to 209 min for Kasai procedure, with other operation times falling in between the two extremes. Likewise, conversion rates varied from 0.2% for fundoplication to 15% for congenital diaphragmatic hernia, with other conversion rates falling in between. Complications ranged from 0 to 67%. About 70-94% of the cases were performed in six pioneering centres. Fundoplication and operations for ovarian pathology have low complication and conversion rates and appear to be well suited to the average-trained paediatric laparoscopic surgeon. More complex procedures are feasible and safe, but technically demanding and need further expertise.

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Section: Discussionmentioning

confidence: 99%

Feasibility of complex minimally invasive surgery in neonates

et al. 2009

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“…Conversely, we could use laparoscopy for CDH as proposed in the first published minimally invasive CDH repair [3][4][5][6]. In laparoscopy we start with an empty abdomen and good sight of the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

“…Accordingly the first endoscopic repair of a late-presenting diaphragmatic hernia in a child was performed by laparoscopy in 1995 van der Zee [3] and later by other groups [4][5][6], but in 2001 the thoracic access for children was revived by Becmeur [7] who reported thoracoscopic closure of three late-presenting diaphragmatic hernias in toddlers but not in neonates [8]. We report a low-pressure thoracoscopic repair of a congenital diaphragmatic hernia in a resuscitated, ventilated neonate.…”

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confidence: 99%

Thoracoscopic repair of congenital diaphragmatic hernia by inflation-assisted bowel reduction, in a resuscitated neonate: a better access?

et al. 2005

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Elective endoscopic diaphragmatic hernia repairs have been reported. But endoscopic surgery was regarded unsuitable for emergency repair of diaphragmatic hernia in ventilated newborn children in bad general condition. We report a new method for inflation-assisted reduction and thoracoscopic repair of congenital diaphragmatic hernia diaphragmatic in a vitally endangered neonate. From three 2.7 mm to 5 mm accesses warmed low-pressure, low-volume CO2 was inflated into the thorax at 100 ml/min and 2 mm mercury. This allowed spontaneous reduction of the thoracic viscera into the abdomen and diaphragmatic suture with minimal handling. The 65-min procedure was tolerated well without perioperative deterioration. The baby was weaned off the respirator and breast-fed within 2 days, mediastinal shift normalized in 6 days. In suitable infants thoracoscopic repair and inflation-assisted reduction of thoracic contents is a more physiological access to congenital diaphragmatic hernia than laparoscopy or laparotomy.

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“…Advance in minimally invasive surgery in children has allowed for application of laparoscopy and thoracoscopy in various neonatal conditions, including congenital diaphragmatic hernia. The first successful laparoscopic repair of congenital diaphragmatic hernia in an infant was reported by van der Zee et al in 1995 [4]. In the same year, Silen et al [5] reported the first successful thoracoscopic congenital diaphragmatic hernia repair.…”

Section: Introductionmentioning

confidence: 96%