Pediatr Surg Int

. 2022 Mar 1. doi: 10.1007/s00383-022-05076-4. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/35230487/

A new simplified technique in thoracoscopic repair of congenital diaphragmatic hernia

Hua Li ¹, Shengliang Zhao ^# 1 2, Chun Wu ^2 3, Zhengxia Pan ^2 3, Gang Wang ^2 3, Jian Fu ^2 3, Jiangtao Dai ^4 5Affiliations expand

• PMID: 35230487
• DOI: 10.1007/s00383-022-05076-4

Abstract

Background: This study aims to describe a new method of repairing the diaphragm with a venipuncture indwelling needle under thoracoscopy to treat congenital diaphragmatic hernia (CDH).

Methods: We retrospectively analysed the clinical data of 43 children with CDH who underwent CDH repair with new technology in our hospital. In this study, we used the venipuncture indwelling needle suture method to treat children with CDH.

Results: In this study, 3 children were converted to open surgery, and the remaining 40 children achieved better clinical results. Follow-up of 43 children was performed for 1 month to 6 years. Except for two patients who relapsed after surgery, there was no recurrence after another operation. The remaining 41 children recovered well; there were no deaths or serious complications. Postoperative chest X-ray and gastrointestinal angiography showed that the abdominal organs were in a normal position.

Conclusions: The use of a venipuncture indwelling needle to suture the diaphragm under thoracoscopy is a simple new technique. This method can not only improve the efficiency of sutures but also better handle the opening of the “V”-shaped defect of the diaphragm. At the same time, it has the advantages of minimal trauma, fast recovery, and improved cosmetic appearance.

Keywords: Congenital diaphragmatic hernia; Minimally invasive surgery; Thoracoscopic diaphragmatic hernia repair; Venipuncture indwelling needle.

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.