Omentopexy for patch repair of diaphragmatic defect

Background: There are many techniques in the reconstructive of congenital diaphragmatic hernia defect. In this study, we present our results from a prospective, randomised trial of using the omentum (omentopexy) for repair of large diaphragmatic defects. Materials and Methods: Twenty white, male, Ne...

Full description

Bibliographic Details
Main Authors: Mehrdad Hosseinpour, Mohadese Hamsaie, Abasat Mirzaei
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:African Journal of Paediatric Surgery
Subjects:
Online Access:http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=4;spage=336;epage=338;aulast=Hosseinpour
_version_ 1828282009569460224
author Mehrdad Hosseinpour
Mohadese Hamsaie
Abasat Mirzaei
author_facet Mehrdad Hosseinpour
Mohadese Hamsaie
Abasat Mirzaei
author_sort Mehrdad Hosseinpour
collection DOAJ
description Background: There are many techniques in the reconstructive of congenital diaphragmatic hernia defect. In this study, we present our results from a prospective, randomised trial of using the omentum (omentopexy) for repair of large diaphragmatic defects. Materials and Methods: Twenty white, male, New Zealand rabbits were used to compare incidence and severity of adhesion bands formation in abdominal cavity with/without of omentopexy after repair of diaphragm defect with the non-absorbable patch (Dacron). They were divided in to two groups, GI (10 animals with omentopexy and repair) and GII (10 animals with repair, without omentopexy). On the 60 th day, animals were re-operated. In each case, adhesion band formation and its severity were recorded. Results: The difference between the incidence of adhesion band formation among the two group was statistically significant (P = 0.019).The majority of rabbits in GII (60%) had substantial adhesion bands (Grade >2 or severe score), whereas, in GI, none of rabbits had substantial adhesion bands (P = 0.019). Conclusion: Our study showed that the use of omentopexy as a cover in repair of diaphragmatic defect is versatile technique with a good success for decreasing of adhesion band formations at short-term follow-up.
first_indexed 2024-04-13T08:23:19Z
format Article
id doaj.art-2d3b4dc6391d4b9fb6f6e4d5d9a9912f
institution Directory Open Access Journal
issn 0189-6725
0974-5998
language English
last_indexed 2024-04-13T08:23:19Z
publishDate 2013-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series African Journal of Paediatric Surgery
spelling doaj.art-2d3b4dc6391d4b9fb6f6e4d5d9a9912f2022-12-22T02:54:33ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67250974-59982013-01-0110433633810.4103/0189-6725.125441Omentopexy for patch repair of diaphragmatic defectMehrdad HosseinpourMohadese HamsaieAbasat MirzaeiBackground: There are many techniques in the reconstructive of congenital diaphragmatic hernia defect. In this study, we present our results from a prospective, randomised trial of using the omentum (omentopexy) for repair of large diaphragmatic defects. Materials and Methods: Twenty white, male, New Zealand rabbits were used to compare incidence and severity of adhesion bands formation in abdominal cavity with/without of omentopexy after repair of diaphragm defect with the non-absorbable patch (Dacron). They were divided in to two groups, GI (10 animals with omentopexy and repair) and GII (10 animals with repair, without omentopexy). On the 60 th day, animals were re-operated. In each case, adhesion band formation and its severity were recorded. Results: The difference between the incidence of adhesion band formation among the two group was statistically significant (P = 0.019).The majority of rabbits in GII (60%) had substantial adhesion bands (Grade >2 or severe score), whereas, in GI, none of rabbits had substantial adhesion bands (P = 0.019). Conclusion: Our study showed that the use of omentopexy as a cover in repair of diaphragmatic defect is versatile technique with a good success for decreasing of adhesion band formations at short-term follow-up.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=4;spage=336;epage=338;aulast=HosseinpourAdhesion bandscongenital diaphragmatic herniaomentumpatch
spellingShingle Mehrdad Hosseinpour
Mohadese Hamsaie
Abasat Mirzaei
Omentopexy for patch repair of diaphragmatic defect
African Journal of Paediatric Surgery
Adhesion bands
congenital diaphragmatic hernia
omentum
patch
title Omentopexy for patch repair of diaphragmatic defect
title_full Omentopexy for patch repair of diaphragmatic defect
title_fullStr Omentopexy for patch repair of diaphragmatic defect
title_full_unstemmed Omentopexy for patch repair of diaphragmatic defect
title_short Omentopexy for patch repair of diaphragmatic defect
title_sort omentopexy for patch repair of diaphragmatic defect
topic Adhesion bands
congenital diaphragmatic hernia
omentum
patch
url http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=4;spage=336;epage=338;aulast=Hosseinpour
work_keys_str_mv AT mehrdadhosseinpour omentopexyforpatchrepairofdiaphragmaticdefect
AT mohadesehamsaie omentopexyforpatchrepairofdiaphragmaticdefect
AT abasatmirzaei omentopexyforpatchrepairofdiaphragmaticdefect