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Related Experiment Video

Updated: May 31, 2026

A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects
06:36

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The central tendon defect: a rare problem, a novel technique.

James Mitchell Stewart Andrews1, Fraser Donald Munro, Gordon Alexander MacKinlay

  • 1Department of Paediatric Surgery, Royal Hospital for Sick Children, Edinburgh, United Kingdom.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|July 20, 2011
PubMed
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Spontaneous pneumothoraces in hereditary multiple exostoses.

Archives of disease in childhoodยท2013
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This study reports on a rare congenital diaphragmatic hernia with a central tendon defect and pericardial effusion. Laparoscopy was successfully used to close the defect in a neonate, offering a new surgical approach.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Congenital Abnormalities

Background:

  • Congenital diaphragmatic hernia (CDH) is a birth defect where the diaphragm has an opening.
  • The rarest form of CDH involves a central tendon defect, often linked to massive pericardial effusion.
  • This specific CDH subtype presents significant diagnostic and surgical challenges.

Observation:

  • A case of a term neonate with a central tendon defect CDH and massive pericardial effusion was observed.
  • Diagnostic difficulties were encountered in identifying the condition.
  • This represents a rare occurrence with limited prior reports.

Findings:

  • The study details the diagnostic challenges associated with this rare CDH variant.
  • It reports the successful closure of a central tendon defect CDH using laparoscopy.

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  • This marks the first documented use of laparoscopy for this specific defect.

    • Implications:

    • Laparoscopic repair may offer a less invasive surgical option for central tendon defect CDH.
    • Improved diagnostic strategies are needed for this rare condition.
    • This case expands the understanding and potential treatment options for complex neonatal surgical emergencies.