Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia
Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has been described by a number of authors and is increasingly widely practiced. We present a technical learning point. CDH is associated with the presence of a hernia sac in around 20% of all cases. In this case the presence of a rupture...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2011-08-01
|
| Series: | Surgical Techniques Development |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/std/article/view/2861 |
| _version_ | 1797368733295968256 |
|---|---|
| author | Claire R. Jackson Gordan A. MacKinlay Merrill McHoney |
| author_facet | Claire R. Jackson Gordan A. MacKinlay Merrill McHoney |
| author_sort | Claire R. Jackson |
| collection | DOAJ |
| description | Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has been described by a number of authors and is increasingly widely practiced. We present a technical learning point. CDH is associated with the presence of a hernia sac in around 20% of all cases. In this case the presence of a ruptured hernia sac complicated the thoracoscopic repair of a left sided CDH, as it was initially difficult to recognise. Once the anatomy was clarified the repair was satisfactorily completed and the child made a rapid postoperative recovery. This technical note is to warn other surgeons that a tunnel like appearance of the diaphragmatic defect may in fact be due to the presence of a torn hernia sac, which requires excision before closure of the defect. |
| first_indexed | 2024-03-08T17:36:55Z |
| format | Article |
| id | doaj.art-7835acdc95474e678e14988fb19e6164 |
| institution | Directory Open Access Journal |
| issn | 2038-9574 2038-9582 |
| language | English |
| last_indexed | 2024-03-08T17:36:55Z |
| publishDate | 2011-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Surgical Techniques Development |
| spelling | doaj.art-7835acdc95474e678e14988fb19e61642024-01-02T11:48:12ZengMDPI AGSurgical Techniques Development2038-95742038-95822011-08-0111e6e610.4081/std.2011.e61601Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic herniaClaire R. JacksonGordan A. MacKinlayMerrill McHoneyThoracoscopic repair of congenital diaphragmatic hernia (CDH) has been described by a number of authors and is increasingly widely practiced. We present a technical learning point. CDH is associated with the presence of a hernia sac in around 20% of all cases. In this case the presence of a ruptured hernia sac complicated the thoracoscopic repair of a left sided CDH, as it was initially difficult to recognise. Once the anatomy was clarified the repair was satisfactorily completed and the child made a rapid postoperative recovery. This technical note is to warn other surgeons that a tunnel like appearance of the diaphragmatic defect may in fact be due to the presence of a torn hernia sac, which requires excision before closure of the defect.http://www.pagepress.org/journals/index.php/std/article/view/2861Congenital diaphragmatic hernia, thoracoscopic repair, sac |
| spellingShingle | Claire R. Jackson Gordan A. MacKinlay Merrill McHoney Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia Surgical Techniques Development Congenital diaphragmatic hernia, thoracoscopic repair, sac |
| title | Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia |
| title_full | Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia |
| title_fullStr | Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia |
| title_full_unstemmed | Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia |
| title_short | Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia |
| title_sort | light at the end of the tunnel a technical note on thoracoscopic repair of congenital diaphragmatic hernia |
| topic | Congenital diaphragmatic hernia, thoracoscopic repair, sac |
| url | http://www.pagepress.org/journals/index.php/std/article/view/2861 |
| work_keys_str_mv | AT clairerjackson lightattheendofthetunnelatechnicalnoteonthoracoscopicrepairofcongenitaldiaphragmatichernia AT gordanamackinlay lightattheendofthetunnelatechnicalnoteonthoracoscopicrepairofcongenitaldiaphragmatichernia AT merrillmchoney lightattheendofthetunnelatechnicalnoteonthoracoscopicrepairofcongenitaldiaphragmatichernia |