Authors: J S Huang C T Lau W Y Wong Q Tao Kenneth K Y Wong P K H Tam
Publish Date: 2014/11/28
Volume: 31, Issue: 2, Pages: 191-195
Abstract
Congenital diaphragmatic hernia is a potentially lifethreatening neonatal condition which required surgical intervention With the advances in endosurgical instruments and techniques thoracoscopic approach is gaining popularity as a standard procedure in the treatment of this condition In this study we reviewed our two centres’ experience with thoracoscopic repair of congenital diaphragmatic hernia in recent yearsAll patients who underwent thoracoscopic repair of congenital diaphragmatic hernia between 2010 and 2013 at the two tertiary referral centres were identified Medical records were retrospectively reviewed Data including patients’ demographics perioperative outcomes length of hospitalisation and postoperative complications were extracted and analysed60 patients were identified over the study period with 46 males and 14 females 48 patients received operation within the first 7 days of life There were seven patients with delayed presentation and were operated after 1 month old The average body weight was 303 kg Leftsided hernia was more prevalent n = 50 The mean operative time was 885 min range 31–194 min No conversion to open thoracotomy or laparotomy was required in any of the patients All patients except one were intubated and paralysed in neonatal intensive care units for at least 3 days after operation Average hospital stay was 146 days There was no mortality in this series There were five recurrences one being the patient without postoperative paralysis and the others with deficient posterior muscle rim No musculoskeletal deformity was noted on followup examination
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