Thoracoscopic repair of a large neonatal congenital diaphragmatic hernia using Gerota's fascia. Issue 2 (May 2015)

• Record Type: Journal Article
• Authors: Fukuzawa, Hiroaki; Tamaki, Akihiko; Takemoto, Jyunkichi; Morita, Keiichi; Endo, Kosuke; Iwade, Tamaki; Yuichi, Okata; Bitoh, Yuko; Yokoi, Akiko; Maeda, Kosaku
• Is Part Of: Asian journal of endoscopic surgery. Volume 8:Issue 2(2015:May)
• Page Start: 219
• Page End: 222
• Publication Date: 2015-05
• Subjects: Congenital diaphragmatic hernia -- Gerota's fascia -- thoracoscopic repair; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12172
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: A large congenital diaphragmatic hernia needing patch repair has a high risk of recurrence. Thus, managing these large congenital diaphragmatic hernias under thoracoscopy has become a problem. Here, a large congenital diaphragmatic hernia that was repaired using Gerota's fascia under thoracoscopy is reported. In the present case, it was impossible to close the hernia directly under thoracoscopy because the hernia was too large. Gerota's fascia was raised up by the left kidney and used for the repair. The left colon adhering to Gerota's fascia was mobilized, and a large space was made under thoracoscopy. Gerota's fascia was fixed to the diaphragmatic defect. The patient's postoperative course was good, and there was no recurrence. This technique could be one option for repairing a large hernia under thoracoscopy.