title: Thoracoscopic Repair of Diaphragmatic Hernia in Infants: A New Modification of the Technique.
abstract: PurposeThe objective of this study is to evaluate a novel simplified technique of thoracoscopic repair of congenital diaphragmatic hernia (CDH) in infants.MethodsA retrospective review of the new simplified technique in 12 CDH patients admitted between March 2013 and March 2015 was performed. A needle with nonabsorbable 2-0 sutures threaded in the lumen was used to approximate edges of the hernia defect.ResultsA total of 12 infants with CDH underwent the repair successfully using this new technique. There were 7 boys and 5 girls with a median age of 104.7 days (range, 1 days-17 months). The mean operative time was 65 minutes (range, 35-125 minutes). No conversion or synthetic patch was required. The patients were followed up for 6 to 30 months (mean, 17.5 ± 8.5 months). There was no mortality and no recurrence.ConclusionThe new modified technique of thoracoscopic diaphragmatic hernia repair reduces the difficulty of intracorporal suturing under tension.
authors.affiliation: Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiang Su, Huai'an, China.
authors.forename: Bing
authors.initials: B
authors.lastname: Li
authors.affiliation: Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiang Su, Huai'an, China.
authors.forename: Bing Wei
authors.initials: BW
authors.lastname: Chen
authors.affiliation: Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiang Su, Huai'an, China.
authors.forename: Qing Shou
authors.initials: QS
authors.lastname: Wang
authors.affiliation: Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiang Su, Huai'an, China.
authors.forename: Bo Ye
authors.initials: BY
authors.lastname: Wang
mesh_terms: D002681:China; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay; D008297:Male; D008488:Medical Illustration; D009339:Needles; D061646:Operative Time; D012189:Retrospective Studies; D013906:Thoracoscopy / Q000379:methods*