ArticlePediatric surgery international2013
Surgical intervention for congenital diaphragmatic hernia: open versus thoracoscopic surgery.
Article in Pediatric surgery international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Historical evolution of thoracoscopic repair for congenital diaphragmatic hernia: an era-based systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Risk Factors for Surgical Site Infection in Neonates: A Systematic Review of the Literature and Meta-Analysis.Frontiers in pediatrics · 2019Pooled it
- Surgical approaches for neonatal congenital diaphragmatic hernia: a systematic review and meta-analysis.Pediatric surgery international · 2015Pooled it
- Review
- Comparison of High-Frequency Oscillatory Ventilators.Respiratory care · 2024Article
- Thoracoscopic repair of congenital diaphragmatic hernia in neonates: findings of a multicenter study in Japan.Surgery today · 2021Article
- Intraoperative ventilation during thoracoscopic repair of neonatal congenital diaphragmatic hernia.Pediatric surgery international · 2017Article
- Congenital diaphragmatic hernia in neonates: factors related to failure of thoracoscopic repair.Pediatric surgery international · 2016Article
- Minimally invasive surgery for diaphragmatic diseases in neonates and infants.Surgery today · 2016Review
- Safety of surgery for neonatal congenital diaphragmatic hernia as reflected by arterial blood gas monitoring: thoracoscopic versus open repair.Pediatric surgery international · 2015Article
- Thoracoscopic repair of congenital diaphragmatic hernia: two centres' experience with 60 patients.Pediatric surgery international · 2015Article
- Assessment of Antenatal and Postnatal Prognostic Indicators in the Outcome of Neonatal Congenital Diaphragmatic Hernia: A Prospective Observational Study.Journal of Indian Association of Pediatric SurgeonsArticle
- Anesthesia for thoracic surgery in infants and children.Saudi journal of anaesthesiaReview
- A comparison of clinical outcomes between endoscopic and open surgery to repair neonatal diaphragmatic hernia.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare open repair (OR) with thoracoscopic repair (TR) for congenital diaphragmatic hernia (CDH) in neonates.
methodsTwenty-four neonatal CDH cases diagnosed prenatally or within 6 h of birth at our institute from 2002 to 2012 with mild pulmonary hypertension managed without inhaled nitric oxide, were studied. OR was routine until 2006 (n = 14; L:R = 12:2) and TR became routine in 2007 (n = 10; L:R = 10:0). All subjects had identical management.
resultsGestational age at birth: OR 37.4 ± 1.6 vs. TR: 38.3 ± 1.1 weeks (p = 0.10); birth weight 2,636 ± 490 vs. 2,887 ± 429 grams (p = 0.20); preoperative A-aDO(2): 308 ± 200 vs. 331 ± 195 mmHg (p = 0.79); and operating time (min): 161 ± 42 vs. 194 ± 76 (p = 0.27). In TR, intraoperative cardiopulmonary status was stable, intraoperative hemorrhage was significantly less (4.8 ± 6.0 vs. 1.1 ± 0.1 grams; p = 0.038), wound cosmesis was excellent without surgical site infections, while, maximum postoperative CRP (2.0 ± 1.5 vs. 1.5 ± 1.1 mg/dL; p = 0.30), commencement of enteral feeding (6.9 ± 2.8 vs. 5.6 ± 2.8 days; p = 0.27), and length of postoperative hospitalization (36 ± 22 vs. 34 ± 12 days; p = 0.66) were improved, but not significantly. One OR case required surgery for intestinal obstruction.
conclusionsThoracoscopic repair appears to be as effective as OR for treating selected cases of CDH in neonates, with excellent wound cosmesis.
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