Abstract
Surgical procedures for representative pediatric diaphragmatic diseases, congenital diaphragmatic hernia and diaphragmatic eventration, are described in this chapter. In congenital diaphragmatic hernia, a repair through laparotomy under direct vision is the most common procedure. Patch repair is sometimes required for huge diaphragmatic defect. Recently, thoracoscopic repair is applied more often especially for the patients with stable respiratory state. Diaphragmatic reconstruction using abdominal muscle flap can be an option for huge defect in consideration of growth. In diaphragmatic eventration, plication to avoid paradoxical movement of the diaphragm is performed.
The figures in this chapter are reprinted with permission from Standard Pediatric Operative Surgery (in Japanese), Medical View Co., Ltd., 2013, with the exception of occasional newly added figures that may appear.
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References
Simpson JS, Gossage JD. Use of abdominal wall muscle flap in repair of large congenital diaphragmatic hernia. J Pediatr Surg. 1971;6:42–4.
Scaife ER, Johnson DG, Meyers RL, et al. The split abdominal wall muscle flap; a simple, mesh-free approach to repair large diaphragmatic hernia. J Pediatr Surg. 2003;39:1748–51.
For Further Reading
Frischer JS, Kuentzler KA, Stolar CJ. Congenital diaphragmatic hernia and eventration of the diaphragm. In: Chung DH, Chen MK, editors. Atlas of pediatric surgical techniques. Philadelphia: Elsevier Saunders; 2010. p. 83–96.
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© 2016 Springer Japan
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Kuroda, T. (2016). Congenital Diaphragmatic Hernia and Diaphragmatic Eventration. In: Taguchi, T., Iwanaka, T., Okamatsu, T. (eds) Operative General Surgery in Neonates and Infants. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55876-7_20
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DOI: https://doi.org/10.1007/978-4-431-55876-7_20
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