Thoracoscopic repair in the neonatal intensive care unit for congenital diaphragmatic hernia during high-frequency oscillatory ventilation.
OBJECTIVE
The aim of this work was to report the technique and result of thoracoscopic repair for a newborn with congenital diaphragmatic hernia (CDH) under high-frequency oscillatory ventilation (HFOV) in the neonatal intensive care unit (NICU).


METHODS
Ventilation was supported by HFOV. The patient was placed in the right lateral decubitus position. Thoracoscopic surgery was performed through three 5-mm trocars. Carbon dioxide insufflation was maintained in the thoracic cavity at a pressure of 6-8 mm Hg. The hernia defect was repaired by using interrupted sutures with extracorporeal knots.


RESULTS
The operation lasted 60 minutes. The intraoperative course was uneventful. Normal vital signs and PO(2) value were maintained throughout the operation. The patient had a normal chest X-ray 1 month after discharge.


CONCLUSIONS
Thoracoscopic repair of CDH in the NICU during HFOV is feasible and safe.
Liem
Nguyen T
NT
Department of Surgery, National Hospital of Pediatrics, Dong Da District, Hanoi, Vietnam. liemnhp@hotmail.com
Dien
Tran M
TM
Ung
Nguyen Q
NQ
D005260:Female; D006548:Hernia, Diaphragmatic / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006612:High-Frequency Ventilation; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D013906:Thoracoscopy