title: Primary thoracoscopic repair of diaphragmatic hernia with pericostal sutures.
abstract: The surgical management of congenital diaphragmatic hernias has traditionally been via laparotomy or thoracotomy. Although laparoscopic and thoracoscopic repairs have been described, most reports are in older infants. We describe a method for primary thoracoscopic repair applied in the immediate neonatal period when no posterolateral rim of diaphragm exists. This simple technique for placing the pericostal sutures is a useful adjunct in the thoracoscopic management of diaphragmatic hernias.
authors.affiliation: Children's Hospital of New Mexico, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Rozmiarek
authors.forename: Robert
authors.initials: R
authors.lastname: Weinsheimer
authors.forename: Georges
authors.initials: G
authors.lastname: Azzie
mesh_terms: D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D010535:Laparoscopy / Q000379:methods*; D013536:Suture Techniques