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Research: Laparoscopic surgery of congenital paraesophageal hernia in newborns and infants

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Research: Laparoscopic surgery of congenital paraesophageal hernia in newborns and infants

Cir Pediatr

. 2021 Jul 1;34(3):138-142.

Laparoscopic surgery of congenital paraesophageal hernia in newborns and infants

[Article in English, Spanish]L Pérez Egido 1M A García-Casillas 1A Del Cañizo 1D Peláez 1M Fanjul 1J Ordoñez Pereira 1I Bada Bosch 1M de la Torre 1J A Cerdá 1J C De Agustín 1Affiliations expand

  • PMID: 34254752

Free article

Abstract in English, Spanish

Introduction: Congenital paraesophageal hernia (CPH) is a rare pathology in pediatric patients. Clinical signs may occur as early as in newborns, which means it requires early surgical repair.

Clinical cases: This is a series of three patients under 1 year of age diagnosed with type IV CPH – with symptoms occurring since they were newborns – who underwent laparoscopic surgical repair. One patient had been diagnosed prenatally. Age at surgery was 6 days, 36 days, and 9 months, respectively. Weight at surgery was 3.60 kg, 3.79 kg, and 8.20 kg, respectively. The patients underwent laparoscopy, with removal of the hernia sac, closure of the diaphragmatic pillars, placement of a reinforcement absorbable mesh, and Nissen fundoplication. Mean operating time was 130 minutes. No intraoperative complications were recorded. One patient developed a sliding hernia, which was subsequently repaired without complications. Mean follow-up time was 24 months.

Keywords: Absorbable mesh; Children; Hiatal hernia; Paraesophageal hernia.

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