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THORACOSCOPIC TREATMENT OF DIAPHRAMMATIC HERNIA: A CASE REPORT

M. Sica, E. Cerchia, F. Molinaro, M. Pavone, E. Bindi, M. Messina
  • M. Sica
    The Section of Pediatric Surgery, Department of Medical Sciences, Surgery and neuroscience, University of Siena, Italy | mario.messina@unisi.it
  • E. Cerchia
    The Section of Pediatric Surgery, Department of Medical Sciences, Surgery and neuroscience, University of Siena, Italy
  • F. Molinaro
    The Section of Pediatric Surgery, Department of Medical Sciences, Surgery and neuroscience, University of Siena, Italy
  • M. Pavone
    The Section of Pediatric Surgery, Department of Medical Sciences, Surgery and neuroscience, University of Siena, Italy
  • E. Bindi
    The Section of Pediatric Surgery, Department of Medical Sciences, Surgery and neuroscience, University of Siena, Italy
  • M. Messina
    The Section of Pediatric Surgery, Department of Medical Sciences, Surgery and neuroscience, University of Siena, Italy

Abstract

Congenital diaphragmatic hernia (CDH) occurs in 1 of every 2000 to 5000 live births and accounts for 8% of all major congenital anomalies. CDH is a diagnosis with multiple, mostly unknown origin and its clinical presentation is highly variable. We are presenting a case of CDH hernia in a neonate, whith prenatal diagnosis at 32 week without any other associated malformation, that was repaired successfully using a staged thoracoscopic approach. Bochdalek described CDH in 1848, and the first surgical repair in a child was reported in 1905. Silen et al first reported thoracoscopic repair in 1995, but the reported world experience includes very few cases in neonates.

Keywords

Congenital diaphragmatic hernia, thoracoscopic approach, high frequency oscillatory ventilation

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Submitted: 2014-04-18 11:13:17
Published: 2013-12-31 00:00:00
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Copyright (c) 2013 M. Sica, E. Cerchia, F. Molinaro, M. Pavone, E. Bindi, M. Messina

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