High recurrence rate in thoracoscopic repair of Bochdalek type congenital diaphragmatic hernia

Abstract

Background: This study aims to determine the possible causes of high recurrence in thoracoscopic repair of congenital diaphragmatic hernia. Methods: Medical records of 14 children (8 boys, 6 girls; mean estimated gestational age of 38.2 weeks; range 36 to 40 weeks) who underwent thoracoscopic repair of Bochdalek type congenital diaphragmatic hernia in our clinic between August 2006 and August 2010 were retrospectively analyzed. Data including demographic characteristics, intraoperative details and respiratory status of the patients were reviewed in terms of recurrence. Results: Only one patient died due to pulmonary hypertension. The mean follow-up was four years (range, 3 to 7 years). Recurrence was seen in five patients. No significant difference in the parameters evaluated was found between the groups. Conclusion: Because of the high recurrence rate after thoracoscopic repair of the congenital diaphragmatic hernia, care must be taken to select the low risk patient for recurrence.