Research: Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram

European J Pediatr Surg Rep

. 2021 Jan;9(1):e13-e16. doi: 10.1055/s-0040-1721473. Epub 2021 Jan 28. https://pubmed.ncbi.nlm.nih.gov/33532173/

Thoracoscopic Repair of Congenital Diaphragmatic Hernia in Preterm Neonate at 1 Kilogram

Muhammad Choudhry 1Simona Rusu 1Peter Brooks 2Enitan Ogundipe 3Shu-Ling Chuang 3Affiliations expand

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Abstract

We report the first successful primary thoracoscopic repair of congenital diaphragmatic hernia (CDH) in a preterm infant born at 28 weeks of gestation weighing 1,043 g. Left-sided CDH was incidentally diagnosed on postnatal chest X-ray on day 1. The neonate subsequently underwent thoracoscopic repair with primary closure of the defect on day 8 weighing 1,150 g. Intraoperative arterial blood gas monitoring including end tidal carbon-dioxide remained within normal range throughout. Postoperative recovery was uneventful. One year neurodevelopmental outcome was normal for age with no CDH recurrence.

Keywords: congenital diaphragmatic hernia; premature; thoracoscopic repair.

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