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Study of Thoracoscopic Repair of Diaphragmatic Eventration in Children: A Case Series

Gurmeet Singh1, Rahul Kumar Rai1, Nitin Pant1

  • 1Department of Pediatric Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|March 11, 2020
PubMed

Insights

Thoracoscopic diaphragm plication is a safe and effective surgical option for children with diaphragmatic eventration. This minimally invasive technique offers good outcomes for pediatric patients requiring this procedure.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Abnormalities

Background:

  • Diaphragmatic eventration is a rare congenital condition affecting diaphragm function.
  • Surgical repair is often necessary to correct the condition and improve respiratory function.
  • Thoracoscopic approaches are increasingly utilized for pediatric thoracic procedures.

Purpose of the Study:

  • To present a case series of pediatric patients undergoing thoracoscopic repair of diaphragmatic eventration.
  • To highlight technical aspects and surgical modifications for preventing recurrence.
  • To evaluate the safety and feasibility of this minimally invasive approach.

Main Methods:

  • Observational study adhering to CARE guidelines.
  • Inclusion of pediatric patients who underwent thoracoscopic repair between January 2010 and March 2019.
  • Assessment of patient demographics, operative details, and outcomes.

Main Results:

  • Twenty-six pediatric patients underwent thoracoscopic diaphragm plication.
  • The majority of patients were male (12:1 ratio) with left-sided eventration (n=21).
  • Average operative time was 66 minutes, with no major complications reported.

Conclusions:

  • Thoracoscopic diaphragm plication is a safe and feasible surgical option for pediatric diaphragmatic eventration.
  • The technique allows for effective repair with minimal invasiveness.
  • This approach demonstrates potential for preventing recurrence in pediatric patients.

Keywords:
eventration of diaphragmpediatric minimal access surgerythoracoscopic repair

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