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Laparoscopic repair of paraesophageal hiatus hernia in infancy

Anjani Kumar Kundal1, Noor Ullah Zargar, Anurag Krishna

  • 1Department of Pediatric Surgery, Sir Ganga Ram Hospital, Delhi - 110 060, India.

Journal of Indian Association of Pediatric Surgeons
|December 17, 2009
PubMed

Insights

Paraesophageal hiatus hernia (PEH) is rare in children. Laparoscopic repair is a safe and effective treatment for infants with PEH, offering a preferred surgical option.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Diaphragmatic Hernias

Background:

  • Paraesophageal hiatus hernia (PEH) is an uncommon diaphragmatic hernia in pediatric patients.
  • PEH can lead to significant respiratory symptoms in infants.

Observation:

  • Two infant patients, aged 5 and 8 months, presented with respiratory distress attributed to PEH.
  • Preoperative diagnostic imaging included chest X-ray and CT scan.

Findings:

  • Both patients successfully underwent laparoscopic repair of their PEH.
  • The laparoscopic approach was technically feasible and demonstrated positive outcomes.

Implications:

  • Laparoscopic repair of PEH in infants is a safe and viable treatment option.
  • This minimally invasive technique may be the preferred method for managing PEH in this age group.

Keywords:
Diaphragmatic herniaparaesophageal hiatus herniarecurrent chest infections

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