title: Laparoscopic repair of late-presenting Bochdalek hernia in 2 infants.
abstract: Laparoscopic repair was performed on 2 infants with late-presenting Bochdalek hernia. Intraoperatively, the entire small intestine was herniated in 1 case and the stomach, small intestine, and part of the colon and spleen were herniated in the other case. Laparoscopic repair of Bochdalek hernia was successfully completed in both the cases. On the basis of our experience, 4 points seem important in laparoscopic surgery for Bochdalek hernia: (1) avoiding damage to the spleen while reducing organs back into the abdominal cavity; (2) ensuring visualization of diaphragmatic defect after reducing the spleen and intestinal tract; (3) ensuring sufficient width to suture the dorsal side of the diaphragm; and (4) identifying intestinal malrotation. We believe that the fourth point represents an advantage of a laparoscopic approach, which seems superior to the thoracoscopic approach and could represent a useful therapy for Bochdalek hernia in infants and older patients.
authors: Department of Pediatric Surgery, Kanazawa Medical University, Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa, Japan. miyuki@kanazawa-med.ac.jp
authors: Miyuki
authors: M
authors: Kohno
authors: Hiromichi
authors: H
authors: Ikawa
authors: Shinya
authors: S
authors: Okamoto
authors: Hironori
authors: H
authors: Fukumoto
authors: Hiroaki
authors: H
authors: Masuyama
authors: Kunio
authors: K
authors: Konuma
mesh_terms: D000367:Age Factors; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods; D008297:Male; D011859:Radiography; D013536:Suture Techniques; D013906:Thoracoscopy