Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0040-1721473
Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram
![](https://www.thieme-connect.de/media/10.1055-s-00024358/202101/lookinside/thumbnails/10-1055-s-0040-1721473_190467cr-1.jpg)
Abstract
We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.
Publication History
Received: 22 April 2019
Accepted: 09 February 2020
Article published online:
28 January 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Silen ML, Canvasser DA, Kurkchubasche AG, Andrus CH, Naunheim KS. Video-assisted thoracic surgical repair of a foramen of Bochdalek hernia. Ann Thorac Surg 1995; 60 (02) 448-450
- 2 Becmeur F, Jamali RR, Moog R. et al. Thoracoscopic treatment for delayed presentation of congenital diaphragmatic hernia in the infant. A report of three cases. Surg Endosc 2001; 15 (10) 1163-1166
- 3 Vijfhuize S, Deden AC, Costerus SA, Sloots CE, Wijnen RM. Minimal access surgery for repair of congenital diaphragmatic hernia: is it advantageous?--An open review. Eur J Pediatr Surg 2012; 22 (05) 364-373
- 4 Criss CN, Coughlin MA, Matusko N, Gadepalli SK. Outcomes for thoracoscopic versus open repair of small to moderate congenital diaphragmatic hernias. J Pediatr Surg 2018; 53 (04) 635-639
- 5 Truchon R. Anaesthetic considerations for laparoscopic surgery in neonates and infants: a practical review. Best Pract Res Clin Anaesthesiol 2004; 18 (02) 343-355
- 6 Kalfa N, Allal H, Raux O. et al. Tolerance of laparoscopy and thoracoscopy in neonates. Pediatrics 2005; 116 (06) e785-e791
- 7 Gomes Ferreira C, Kuhn P, Lacreuse I. et al. Congenital diaphragmatic hernia: an evaluation of risk factors for failure of thoracoscopic primary repair in neonates. J Pediatr Surg 2013; 48 (03) 488-495
- 8 Wall JK, Sinclair TJ, Kethman W. et al. Advanced minimal access surgery in infants weighing less than 3kg: a single center experience. J Pediatr Surg 2018; 53 (03) 503-507
- 9 Keijzer R, van de Ven C, Vlot J. et al. Thoracoscopic repair in congenital diaphragmatic hernia: patching is safe and reduces the recurrence rate. J Pediatr Surg 2010; 45 (05) 953-957
- 10 Szavay PO, Obermayr F, Maas C, Luenig H, Blumenstock G, Fuchs J. Perioperative outcome of patients with congenital diaphragmatic hernia undergoing open versus minimally invasive surgery. J Laparoendosc Adv Surg Tech A 2012; 22 (03) 285-289