title: Thoracoscopic diaphragm plication in children and indications for conversion to open thoracotomy.
abstract: Thoracoscopic plication of the diaphragm has been recently described as an alternative treatment for eventration. It is considered to be much less traumatic than the conventional method. We attempted thoracoscopic diaphragm plication on three patients. Two patients were treated successfully by the minimally invasive technique and were discharged from hospital on the second postoperative day. In the third case, the presence of a mobile intrathoracic kidney due to previous diaphragmatic hernia repair necessitated conversion to open thoracotomy. This patient was discharged on postoperative day six following an uneventful recovery. All patients are well and asymptomatic on followup. We advocate thoracoscopic diaphragm plication in children as a safe procedure with less morbidity and excellent cosmetic results.
authors.affiliation: Kocaeli University, Department of Pediatric Surgery, Turkey.
authors.forename: B Haluk
authors.initials: BH
authors.lastname: Güvenç
authors.forename: Mevlit
authors.initials: M
authors.lastname: Korkmaz
authors.forename: Levent
authors.initials: L
authors.lastname: Avtan
authors.forename: Remziye
authors.initials: R
authors.lastname: Sivaci
authors.forename: Canan
authors.initials: C
authors.lastname: Balci
authors.forename: Gülşen
authors.initials: G
authors.lastname: Ekingen
mesh_terms: D003964:Diaphragm / Q000601:surgery*; D003965:Diaphragmatic Eventration / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D013906:Thoracoscopy; D013908:Thoracotomy; D016896:Treatment Outcome