Skip to main content
SpringerLink
Log in

A new simplified technique in thoracoscopic repair of congenital diaphragmatic hernia

  • Original Article
  • Published:
Pediatric Surgery International Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Availability of data and materials

The datasets used and analysed during the current study are available from the corresponding author upon reasonable request.

Abbreviations

CDH:

Congenital diaphragmatic hernia

MIS:

Minimally invasive surgery

CCU:

Coronary care unit

References

  1. Inoue M, Uchida K, Otake K et al (2016) Thoracoscopic repair of congenital diaphragmatic hernia with counter measures a gainst reported complications for safe outcomes comparable to laparotomy. Surg Endosc 30(3):1014–1019

    Article  Google Scholar 

  2. Szavay PO, Obermayr F, Maas C et al (2012) Perioperative outcome of patients with congenital diaphragmatic hernia undergoing open versus minimally invasive surgery. J Laparoendosc Adv Surg Tech 22(3):285–289

    Article  Google Scholar 

  3. Kays DW, Islam S, Larson SD et al (2013) Long-term maturation of congenital hernia treatment results: toward development of a severity specific treatment algorithm. Ann Surg 258(4):638–644

    Article  Google Scholar 

  4. Langham MR, Keys DW, Ledbetter DJ et al (1996) Congenital diaphragmatic hernia: epidemiology and outcome. Clin Perinatol 23:671–688

    Article  Google Scholar 

  5. Fumino S, Shimotake T, Kume Y et al (2005) A clinical analysis of prognostic parameters of survival in children with congenital diaphragmatic hernia. Eur J Pediatr Surg 6:399–403

    Article  Google Scholar 

  6. Lally KP, Lasky RE, Lally PA et al (2013) Congenital Diaphragmatic Hernia Study Group. Standardized reporting for congenital diaphragmatic hernia—an international consensus. J Pediatr Surg 48(12):2408–2415

    Article  Google Scholar 

  7. McHoney M, Giacomello L, Nah SA et al (2010) Thoracoscopic repair of congenital diaphragmatic hernia: intraoperative ventilation and recurrence. J Pediatr Surg 45:355–359

    Article  Google Scholar 

  8. Gander JW, Fisher JC, Gross ER et al (2011) Early recurrence of congenital diaphragmatic hernia is higher after thoracoscopic than open repair: a single institutional study. J Pediatr Surg 46:1303–1308

    Article  Google Scholar 

  9. Jancelewicz T, Langer JC, Chiang M et al (2013) Thoracoscopic repair of neonatal congenital diaphragmatic hernia (CDH): outcomes after a systematic quality improvement process. J Pediatr Surg 48:321–325

    Article  Google Scholar 

  10. Yang EY, Allmendinger N, Johnson SM et al (2005) Neonatal thoracoscopic repair of congenital diaphragmatic hernia: selection criteria for successful outcome. J Pediatr Surg 40(9):1369–1375

    Article  Google Scholar 

  11. Nguyen TL, Le AD (2006) Thoracoscopic repair of congenital daphragmatic hernia: lessons from 45 cases. J Pediatr Surg 41(10):1713–1715

    Article  Google Scholar 

  12. Gomes Ferreire C, Kuhn P et al (2013) Congenital diaphragmatic hernia: an evaluation of risk factors for failure of thoracoscopic primary repair in neonature. J Pediatr Surg 48(3):488–495

    Article  Google Scholar 

  13. Zhu Y, Wu Y, Pu Q et al (2016) Minimally invasive surgery for congenital diaphragmatic hernia: a meta-analysis. Hernia 20(2):297–302

    Article  CAS  Google Scholar 

  14. Nam SH, Cho MJ, Kim DY et al (2013) Shifting from laparotomy to thoracoscopic repair of congenital diaphragmatic hernia in neonates: early experience. World J Surg 37:2711–2716

    Article  Google Scholar 

  15. Gomes FC, Kuhn P, Lacreuse I et al (2013) Congenital diaphragmatic hernia: an evaluation of risk factors for failure of thoracoscopic primary repair in neonates. J Pediatr Surg 48:488–495

    Article  Google Scholar 

Download references

Funding

Not applicable.

Author information

Author notes

  1. Co-first author: Shengliang Zhao.

Authors and Affiliations

  1. Department of Thoracic Surgery, Second Affiliated Hospital of Army Medical University, Chongqing, People’s Republic of China

    Hua Li & Shengliang Zhao

  2. Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Children’s Hospital of Chongqing Medical University, Chongqing, People’s Republic of China

    Shengliang Zhao, Chun Wu, Zhengxia Pan, Gang Wang, Jian Fu & Jiangtao Dai

  3. Department of Cardio-Thoracic Surgery, Children’s Hospital of Chongqing Medical University, No. 20, Jinyu Avenue, Liangjiang New District, Chongqing, People’s Republic of China

    Chun Wu, Zhengxia Pan, Gang Wang, Jian Fu & Jiangtao Dai

Authors
  1. Hua Li
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Shengliang Zhao
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chun Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Zhengxia Pan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gang Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jian Fu
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Jiangtao Dai
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

LH and ZSL analysed and interpreted the patient data regarding congenital diaphragmatic hernia. PZX, WC, and FJ were responsible for part of the design of the paper. PZX, WG, DJT, and WC performed diaphragmatic hernia repair surgery. LH, ZSL, and DJT were major contributors to writing the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Jiangtao Dai.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Ethics approval and consent to participate

The Medical Research Ethics Committee of Children's Hospital Affiliated to Chongqing Medical University approved the study, and this study obtained written informed consent from the families of all children.

Consent for publication

Not applicable.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1Video 1. Intraoperative detailed operation video (MP4 70858 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, H., Zhao, S., Wu, C. et al. A new simplified technique in thoracoscopic repair of congenital diaphragmatic hernia. Pediatr Surg Int 38, 861–865 (2022). https://doi.org/10.1007/s00383-022-05076-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00383-022-05076-4

Keywords

Search

Navigation