Use of Nonabsorbable Spiral Tacks for Mesh Reinforcement in Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Anna Poupalou; Celine Vrancken; Erwin Vanderveken; Henri Steyaert

doi:10.1055/s-0037-1612618

European Journal of Pediatric Surgery Reports, Inhaltsverzeichnis

CC-BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e27-e31
DOI: 10.1055/s-0037-1612618

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Use of Nonabsorbable Spiral Tacks for Mesh Reinforcement in Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Anna Poupalou

¹Department of Pediatric Surgery/ Pediatrics, Université Libre de Bruxelles (ULB), Hôpital CHU St Pierre, Bruxelles, Belgium

²ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium

,

Celine Vrancken

²ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium

,

Erwin Vanderveken

²ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium

,

Henri Steyaert

²ChirurgiePédiatrique, Université Libre de Bruxelles (ULB), Hôpital HUDERF, Bruxelles, Belgium

› Institutsangaben

Abstract

Thoracoscopic prosthetic repair of congenital diaphragmatic hernia (CDH) is a well-established and safe technique in experienced hands but the patching procedure is technically demanding and time consuming. To address the challenges associated with this process (confined working space and restricted time), the aim of this article is to assess the potential improvements in feasibility, efficacy, and safety of patch fixation by using nonabsorbable helicoidal tacks in neonates and infants for the repair of large CDH by thoracoscopy. The new technique has all the advantages of minimal invasive surgery in very young children combined with the advantages of reduced operating time and increased simplicity, and may be a good option in cases of recurrence.

Keywords

diaphragmatic hernia - thoracoscopy - patch - tack

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Referenzen

References
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