Use of Nonabsorbable Spiral Tacks for Mesh Reinforcement in Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Poupalou, Anna; Vrancken, Celine; Vanderveken, Erwin; Steyaert, Henri

doi:10.1055/s-0037-1612618

Cited by 8 publications

(11 citation statements)

References 22 publications

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“…The present case is the first successful pediatric laparoscopic repair of a Morgagni hernia that was accomplished by using sprial tacks for mesh fixation. Spiral tacks were also used for mesh reinforcement during the thoracoscopic repair of a posterolateral (Bochdalek) hernia in two infants 7 . However, there has been mounting criticism about the use of tacks in the diaphragm because of the potential for cardiac injury 8 .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic patch repair of a Morgagni hernia in Menkes disease

Ceccanti

Mastrangelo

Andreoli

et al. 2020

Asian J Endoscop Surgery

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The association between Morgagni hernia and Menkes disease has not yet been described. Here, we report such a rare association in an 8‐year‐old boy who presented with subocclusive symptoms. He successfully underwent laparoscopic repair with a patch. The patch was fixed to the anterior abdominal wall by using transfascial sutures with extracorporeal knot tying and to the remaining edges of the diaphragmatic defect by using intracorporeal suturing and spiral tacks. At the 2‐year follow‐up, the child remained recurrence‐free and without gastrointestinal symptoms. The potential relationship between the two conditions and the controversial use of spiral tacks to affix the mesh to the diaphragm are also discussed.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic patch repair of a Morgagni hernia in Menkes disease

Ceccanti

Mastrangelo

Andreoli

et al. 2020

Asian J Endoscop Surgery

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“…12 Nasr et al reported data from four different patch types-Gore-Tex, Marlex, Surgisis, and Silastic-and showed that Surgisis had the lowest recurrence rate of 20%, although it also had the smallest sample size of only five patients. 17 Tsai 2012, 18 Romao 2012, 14 Riquelme 2016, 19 Riehle 2007, 20 Premkumar 2015, 21 Poupalou 2018, 22 Mitchell 2008, 15 Loff 2005, 7 Jancelewicz 2010, 6 Jancelewicz 2013, 12 Glick 1992, 23 de Kort 1996, 24 Cantone 2014, 25 Becmeur 2001, 26 Barnhart 2012, 16 Yokota 2014, 27 Long 2019, 8 Grethel 2006, 5 Heiwegen 2020, 28 Guner 2008, 29 Dewberry 2019, 37 D'agostino 1995, 31 Baerg 2012, 32 Total synthetic 493 49 9.9…”

Section: Recurrence Rate-studies Comparing Synthetic To Biological Pa...mentioning

confidence: 99%

“…Single case reports Shariff 2014, 33 Riquelme 2015, 19 Premkumar 2015, 21 Hutson 1985, 35 Gander 2010, 41 Davis 2002, 42 Cantone 2014, 25 Bruen 2007, 36 Becmeur 2001, 26 Bawazir 2019 43 22 Glick 1992, 23 Ahmed 1998 44 Retrospective case series with research questions and outcomes Yokota 2014, 27 Weaver 2006, 45 Tsai 2012, 18 Shah 2009, 46 Russel 2014, 40 Romao 2012, 14 Riehle 2007, 20 Razumovskly 2016, 11 Nasr 2010, 17 Mitchell 2008, 15 McHoney 2010, 47 Loff 2005, 7 Laituri 2010, 13 Kuklová 2011, 38 Koziarkiewicz 2014, 39 Koot 1993, 48 Kamran 2018, 49 Jawaid 2013, 9 Janssen 2018, 30 Jancelewicz 2013, 12 Grethel 2006, 5 Heiwegen 2020, 28 Guner 2008, 29 Dewberry 2019, 37 de Kort 1996, 24 D'agostino 1995, 31 Cho 2009, 50 Barnhart 2012, 16 Baerg 2012, 32 Aydin 2020 51 34 Rygl 2012, 52 Long 2019, 8 Jancelewicz 2010 6 Four studies (132 patients total) that systematically reported death rates in treated patients were included in the table. Death rates for synthetic patches ranged from 19 to 32%, whereas...…”

Section: Characteristics Of Studies Assessment Of Biasmentioning

confidence: 99%

“…For patch recurrence, a total of four studies had an average follow-up period of 2 to 4 years, 14,19,47,49 and 13 studies had an average follow-up period of greater than 4 years. 6,9,12,16,17,20,22,24,30,32,38,44,51 For chest wall anomalies, one study had an average 2 to 4 year follow-up, 18 and 3 studies had an average 4þ year follow-up. [38][39][40] For scoliosis, one study had an average 2 to 4 year follow-up, 18 and two studies had average 4þ year follow-up.…”

Section: Studies With Longer Term Follow-upmentioning

confidence: 99%

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Synthetic versus Biological Patches for CDH: A Comparison of Recurrence Rates and Adverse Events, Systematic Review, and Meta-Analysis

et al. 2022

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Objective Our systematic review aims to compare recurrence rates and complications of biological versus synthetic patches for the repair of congenital diaphragmatic herniae. Methods Studies from January 1, 1980 to April 25, 2020, with patients under the age of 16 years and with a minimum 6-month follow-up, were included from MEDLINE, Embase, and Cochrane databases. Funnel plots for recurrence rates were constructed for biological and synthetic patches. Subgroup analysis was performed for recurrence rate at the 1-year time-point and data were gathered on individual adverse events from relevant studies. Results A total of 47 studies with 986 patients (226 biological, 760 synthetic) were included. Funnel plot analysis determined overall recurrence rates of 16.7% for synthetic and 30.3% for biological patches. Subgroup analysis of 493 and 146 patients with synthetic and biological patches, respectively, showed recurrence rates of 9.9 and 26%, respectively.The most commonly used patch types—PTFE (polytetrafluoroethylene) and SIS (small intestinal submucosa)—had 11.5 and 33.3% recurrence, respectively. Adhesive bowel obstruction rates ranged from 4 to 29% in studies that systematically reported it for synthetic, and 7 to 35% for biological patches. Gastroesophageal reflux rates ranged from 25 to 48% in studies that systematically reported it for synthetic, and 21 to 42% for biological patches. Pectus deformity rates were reported as high as 80% for synthetic patches. Conclusion Biological patches appear to have higher recurrence rates than synthetic patches, while skeletal deformities are associated more commonly with synthetic patches. Results of biological patches are mainly using SIS and this may overestimate complications of current superior biological patches.

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“…In neonates with a small diaphragm defect, primary repair can be used to close the diaphragm with sutures. In neonates with a large defect that does not allow primary repair, patch repair can be used to close the diaphragm with synthetic materials …”

mentioning

confidence: 99%

Postnatal Ultrasound to Determine the Surgical Strategy for Congenital Diaphragmatic Hernia

Hosokawa

Yamada

Takahashi

et al. 2019

J of Ultrasound Medicine

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Objectives-To compare defect sizes in congenital diaphragmatic hernia (CDH) measured by postnatal ultrasound (US) between neonates who underwent thoracoscopic surgery and neonates who underwent open surgery and between neonates who underwent primary repair and those who underwent patch repair; additionally, to compare the accuracy of US diagnosis with that of surgical diagnosis for the location of the diaphragmatic hernia and the hernial contents.Methods-We included 8 neonates who underwent preoperative US evaluations of CDH. We compared anterior-to-posterior diaphragm defect sizes between thoracoscopic and open surgery approaches and between primary and patch repair by using the Mann-Whitney U test. The diaphragm was divided into 3 segments: anterior, lateral, and posterior. We evaluated the location of the diaphragmatic hernia and the hernial contents.Results-Four neonates who underwent open surgery had larger diaphragmatic hernias than those who underwent thoracoscopic surgery (mean AE SD, 30.5 AE 5.6 versus 16.3 AE 3.3 mm; P = .030). They were also larger in neonates who underwent patch repair than in those who underwent primary repair (33.0 AE 3.0 versus 17.6 AE 4.2 mm; P = .037). Detection of anterior and lateral diaphragm segments was consistent between US and surgical findings. Three of 4 neonates who underwent open surgery and all 3 neonates who underwent patch repair did not show the lateral segment. The hernial contents were also consistent between US and surgical findings.Conclusions-Postnatal US examinations of neonates with CDH could provide surgeons with useful information to determine the surgical approach and repair method. However, since our study cohort was small, further studies are needed with a larger number of neonates with CDH.

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Use of Nonabsorbable Spiral Tacks for Mesh Reinforcement in Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Cited by 8 publications

References 22 publications

Laparoscopic patch repair of a Morgagni hernia in Menkes disease

Laparoscopic patch repair of a Morgagni hernia in Menkes disease

Synthetic versus Biological Patches for CDH: A Comparison of Recurrence Rates and Adverse Events, Systematic Review, and Meta-Analysis

Postnatal Ultrasound to Determine the Surgical Strategy for Congenital Diaphragmatic Hernia

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