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CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e27-e31
DOI: 10.1055/s-0037-1612618
Case Report
Georg Thieme Verlag KG Stuttgart · New York

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

Anna Poupalou
1   Department of Pediatric Surgery/ Pediatrics, Université Libre de Bruxelles (ULB), Hôpital CHU St Pierre, Bruxelles, Belgium
2   ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium
,
Celine Vrancken
2   ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium
,
Erwin Vanderveken
2   ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium
,
Henri Steyaert
2   ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium
› Author Affiliations
Further Information

Publication History

13 September 2016

03 November 2017

Publication Date:
22 March 2018 (online)

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Abstract

Thoracoscopic prosthetic repair of congenital diaphragmatic hernia (CDH) is a well-established and safe technique in experienced hands but the patching procedure is technically demanding and time consuming. To address the challenges associated with this process (confined working space and restricted time), the aim of this article is to assess the potential improvements in feasibility, efficacy, and safety of patch fixation by using nonabsorbable helicoidal tacks in neonates and infants for the repair of large CDH by thoracoscopy. The new technique has all the advantages of minimal invasive surgery in very young children combined with the advantages of reduced operating time and increased simplicity, and may be a good option in cases of recurrence.

Keywords

diaphragmatic hernia - thoracoscopy - patch - tack
 

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