Hernia Sac Presence Portends Better Survivability of Isolated Congenital Diaphragmatic Hernia with “Liver-Up”

2016 ◽  
Vol 34 (05) ◽  
pp. 515-519 ◽  
Author(s):  
Jurica Vuković ◽  
Milivoj Novak ◽  
Toby Weingarten ◽  
Darrell Schroeder ◽  
Juraj Sprung ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Hernia Sac

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

2011 ◽  
Vol 1 (1) ◽  
pp. 6
Author(s):  
Claire R. Jackson ◽  
Gordan A. MacKinlay ◽  
Merrill McHoney
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Postoperative Recovery ◽  
Technical Note ◽  
Diaphragmatic Defect ◽  
Hernia Sac ◽  
Thoracoscopic Repair ◽  
Technical Learning ◽  
Number Of Authors

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.

scholarly journals Postnatal ultrasonography for evaluation of hernia sac of neonate with congenital diaphragmatic hernia

2019 ◽  
Vol 14 (6) ◽  
pp. 683-686
Author(s):  
Takahiro Hosokawa ◽  
Yutaka Tanami ◽  
Yumiko Sato ◽  
Eiji Oguma ◽  
Kanako Omata ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Hernia Sac

Prognostic value of a hernia sac in congenital diaphragmatic hernia

2013 ◽  
Vol 41 (3) ◽  
pp. 286-290 ◽  
Author(s):  
E. Spaggiari ◽  
J. Stirnemann ◽  
J.-P. Bernard ◽  
L. De Saint Blanquat ◽  
S. Beaudoin ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Prognostic Value ◽  
Hernia Sac

scholarly journals Recurrent congenital diaphragmatic hernia: A single center experience

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Żaneta Słowik-Moczydłowska ◽  
Andrzej Kamiński
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
First Year ◽  
Surgical Morbidity ◽  
Hernia Sac ◽  
Single Center Experience ◽  
Post Surgery ◽  
Liver Herniation ◽  
First Year Of Life

Congenital Diaphragmatic Hernia (CDH) occurs in 1:4000 live births. It’s morbidity and mortality rates are significant. Recurrence is one of the recognized complications occurring after a successful initial repair. Poorly known are the rate of recurrence and factors that may influence the re-herniation. Poorly described are its morphology and treatment. Medical records of 95 neonates with CDH who had undergone repair at tertiary pediatric teaching hospital between 2007-2018 were retrospectively reviewed. Prior to surgery, peri-operative and recurrence data were collected. The follow-up was 1 to 12 years after the initial repair. Recurrence occurred in 22/84 (26%) patients. In 5 patients we observed more than one recurrence, total number of 27 (32%) re-herniations; 16/22 (72%) recurrences occurred within first 12 months; 7/27 (26%) recurrences were symptomatic which gives the symptomatic recurrence rate 8.3%; 20/27 (74%) were asymptomatic. There were no significant differences between groups considering LHR, gestational age, birth weight, severity of pre-surgery and post-surgery stabilization period. Significantly higher Apgar scores were in the group without recurrence. Among subjects with recurrent CDH majority had a left-sided defect, no hernia sac, no liver herniation, diaphragm was primarily sutured, abdominal wall primarily closed. Even though none of those factors was significantly related with the recurrence. Recurrence in CDH remains a significant issue for long-term surgical morbidity, especially more apparent in the first year of life. As long as the risk factors of re-herniation remains unclear, the most important seems to be routine follow-up protocol allowing for CDH recurrence detection.

scholarly journals Left-Sided Congenital Diaphragmatic Hernia with Multiple Congenital Cardiac Anomalies, Hernia Sac, and Microscopic Hepatic Heterotopia: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Maria Arafah ◽  
Deena T. Boqari ◽  
Khaled O. Alsaad
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Congenital Anomalies ◽  
Pathological Finding ◽  
Hepatic Tissue ◽  
Multiple Congenital Anomalies ◽  
Hernia Sac ◽  
Congenital Cardiac Anomalies ◽  
Life Threatening ◽  
Uncertain Etiology

Congenital diaphragmatic hernia is a common congenital anomaly of uncertain etiology. Its association with multiple congenital anomalies in various organs is well recognized and antenatal radiological evidence of congenital diaphragmatic hernia warrants thorough evaluation to detect other anomalies, some of which can be life threatening. Rarely, heterotopic hepatic tissue is identified in the hernia, a rare pathological finding, exhibiting more than one macroscopic and microscopic characteristics, and always associated with cardiac congenital anomalies. Herein, we report a case of left-sided microscopic heterotopic hepatic tissue in a congenital diaphragmatic hernia in an infant with multiple cardiac congenital anomalies, but with preserved pericardium.

scholarly journals Treatment for right-sided intrathoracic kidney with congenital diaphragmatic hernia by combined thoracoscopic and laparoscopic approach: a case report and literature review

2021 ◽  
Author(s):  
Mingming Yu ◽  
Fang Chen ◽  
Sisi Wei ◽  
Hua Xie
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Laparoscopic Approach ◽  
Postoperative Recovery ◽  
Normal Function ◽  
Hernia Sac ◽  
Surgical Methods ◽  
Long Term Follow Up ◽  
Intrathoracic Kidney ◽  
The Right

Abstract BackgroundIntrathoracic kidney (ITK) associated with congenital diaphragmatic hernia (CDH) is rare congenital anomaly and usually requires surgery. The surgical methods and approaches are diverse.Case presentationWe reported a case of a 5-year-old boy who was diagnosed as right-sided ITK with CDH. Surgical treatment was performed by combined thoracoscopic and laparoscopic approach. Anatomical reposition of the right kidney and nephropexy were carried out under laparoscopy, and repair of the hernia was performed under thoracoscopy. The postoperative recovery was uneventful and long-term follow-up demonstrated normal function and development of the kidney.ConclusionCombined thoracoscopic and laparoscopic approach is minimally invasive and effective for treatment of ITK associated with CDH. It provides better visualization of the diaphragmatic foramen and the hernia sac, and can achieve anatomical reposition and fixation of the ectopic kidney.

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