期刊
CHILDREN-BASEL
卷 9, 期 8, 页码 -出版社
MDPI
DOI: 10.3390/children9081116
关键词
repair of congenital diaphragmatic hernia; CDH; recurrence of CDH; thoracoscopic pericostal suture technique
类别
This study describes a minimally invasive technique for the repair of larger type B defects of congenital diaphragmatic hernia (CDH) using primary closure and strong suture connection. The technique allows for the transformation of circular defects into tension-free lines with strong compound and can be applied to defects of different sizes.
Purpose: To describe a minimally invasive technique with primary closure and strong suture connection that is feasible in cases of larger, most common type B defects of congenital diaphragmatic hernia (CDH). Background: The thoracoscopic approach (TA) is a favorable technique for the repair of CDH and is still evolving globally. A common issue is finding the optimal suture technique for secure closure in order to prevent recurrences. Whether a defect can be closed only by sutures or by using a patch depends on the size of CDH, the presence of a muscular rim along the inner thoracic surface and finally on the surgeon's experience. From a geometrical point of view, the challenge is to transform the circular defect into a line, without tension, with a strong compound and preferably without additional material. To address this, we apply a setting of the sutures in a T-shape and a way to lead the sutures around the rib bones in order to increase stability. This method allows for the primary closure of CDHs and also applies to larger defects. Cases: We present seven newborns with posterolateral CDH on the left side. The defects were solely repaired by TA and by the suturing technique described in detail.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据