Thoracoscopic repair of a large neonatal congenital diaphragmatic hernia using Gerota's fascia.
A large congenital diaphragmatic hernia needing patch repair has a high risk of recurrence. Thus, managing these large congenital diaphragmatic hernias under thoracoscopy has become a problem. Here, a large congenital diaphragmatic hernia that was repaired using Gerota's fascia under thoracoscopy is reported. In the present case, it was impossible to close the hernia directly under thoracoscopy because the hernia was too large. Gerota's fascia was raised up by the left kidney and used for the repair. The left colon adhering to Gerota's fascia was mobilized, and a large space was made under thoracoscopy. Gerota's fascia was fixed to the diaphragmatic defect. The patient's postoperative course was good, and there was no recurrence. This technique could be one option for repairing a large hernia under thoracoscopy.
Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan.
Hiroaki
H
Fukuzawa
Akihiko
A
Tamaki
Jyunkichi
J
Takemoto
Keiichi
K
Morita
Kosuke
K
Endo
Tamaki
T
Iwade
Okata
O
Yuichi
Yuko
Y
Bitoh
Akiko
A
Yokoi
Kosaku
K
Maeda
D000071938:Fasciotomy; D065630:Hernias, Diaphragmatic, Congenital / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D013906:Thoracoscopy / Q000379:methods*
Congenital diaphragmatic hernia; Gerota's fascia; thoracoscopic repair