Repair of congenital diaphragmatic hernias through umbilical skin incisions View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2013-01-23

AUTHORS

Shuichiro Uehara, Noriaki Usui, Masafumi Kamiyama, Kazunori Masahata, Keigo Nara, Takehisa Ueno, Hideki Soh, Takaharu Oue, Masahiro Fukuzawa

ABSTRACT

The use of thoracoscopy and laparoscopy in the treatment of congenital diaphragmatic hernias (CDHs) has been recently reported; however, the use of these procedures still remains controversial due to CO2 insufflation and limited working space. In addition, because of difficult techniques, it has not been widely accepted. Among CDH patients, mild cases whose lung is not hypoplastic, and not associated with persistent pulmonary hypertension of the neonate (PPHN) often develop small defects in the diaphragm that can be repaired using “direct closure.” Because direct closure does not require as wide an operative field as that needed for patch closure, we repaired CDH through umbilical skin windows in two neonates with mild CDH to minimize the wounds. With the creation of additional radical small incisions, the surgeries were successfully performed without any intra- or postoperative complications, and the wounds were cosmetically pleasing. The repair of CDHs through umbilical skin windows is a feasible and useful approach in neonates with mild CDH. More... »

PAGES

529-532

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00383-013-3265-0

DOI

http://dx.doi.org/10.1007/s00383-013-3265-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1000623269

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/23340831


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