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Light at the end of the tunnel: a technical note on thoracoscopic repair of congenital diaphragmatic hernia

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Author(s): Claire R. Jackson | Gordan A. MacKinlay | Merrill McHoney

Journal: Surgical Techniques Development
ISSN 2038-9574

Volume: 1;
Issue: 1;
Start page: e6;
Date: 2011;
Original page

Keywords: Congenital diaphragmatic hernia | thoracoscopic repair | sac

ABSTRACT
Thoracoscopic repair of congenital diaphra­gmatic hernia (CDH) has been described by a number of authors and is increasingly widely practiced. We present a technical learning point. CDH is associated with the presence of a hernia sac in around 20% of all cases. In this case the presence of a ruptured hernia sac complicated the thoracoscopic repair of a left sided CDH, as it was initially difficult to recognise. Once the anatomy was clarified the repair was satisfactorily completed and the child made a rapid postoperative recovery. This technical note is to warn other surgeons that a tunnel like appearance of the diaphragmatic defect may in fact be due to the presence of a torn hernia sac, which requires excision before closure of the defect.
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