Thoracoscopic Repair of Congenital Diaphragmatic Hernia
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Read the article on dx.doi.org ↗Article · Mar 2020 · 1 min read
In brief
In brief
Review of thoracoscopic repair techniques for congenital diaphragmatic hernia, examining the shift from open to minimally invasive approaches in selected patients. Discusses key controversies including ECMO use, intraoperative hypercapnia management, patch repair indications, surgical training requirements, and recurrence rates.
Written by the GCMD Library team from the article.
The surgical management of patients with congenital diaphragmatic hernia (CDH) is challenging and ever changing. It requires the highest expertise not only on the surgical level but also of neonatologists and anesthesiologists. In selected patients traditional open surgery is increasingly replaced by thoracoscopic CDH repair in many centers worldwide. Despite obvious and well-described advantages of the minimally invasive approach like a shorter ventilatory time, less pain, a shorter hospital length of stay, and a better cosmesis, important controversies remain. This review discusses hot topics of minimally invasive CDH repair, such as extracorporeal membrane oxygenation, hypercapnia/acidosis, patch repair, surgical training, and recurrence.