Abstract

Objective To summarize our initial experience of simplified rapid suture method by using three-point inversed plication technique for diaphragmatic eventration in children. Methods The clinical data of a new simplified suture technique of right-sided diaphragmatic eventration in 10 cases (thoracoscopic repair group) from January 2013 to January 2017 was retrospectively analyzed and compared with the clinical data of 9 children of right-sided diaphragmatic eventration undergoing conventional open diaphragm plication from January 2012 to November 2013 (conventional open repair group). In thoracoscopic repair group, there were 6 boys and 4 girls with a mean age of 306 days (1 day-4 years) and a mean weight of (2.5-17.0)(6.3±5.7) kg.Six were aged under 28 days and 4 were 6 months to 4 years.All patients completed thoracoscopic diaphragmatic plication successfully with three ports.In control group between January 2012 to December 2013, there were 7 boys and 2 girls with a median weight of (6.5±5.4) kg.No significant inter-group statistical differences existed prior to operation. Results A total of 10 patients were operated successfully using this new technique.The mean operative duration was (36.7±8.1) min (range 25-50 min). None required a conversion into open surgery.Operative blood loss was (6.5±1.5) ml and patient discharge occurred at 5-10 (mean 6.4±1.2) days postoperatively.The operative duration of control group was 90-150 (mean 125.5±15.5) min, operative blood loss (7.5±1.8) ml and patient discharge occurred at (6.6±1.5) days postoperatively.The average operative durations were different between two groups (P 0.05). Conclusions Thoracoscopic three-point inversed plication technique for pediatric diaphragmatic eventration has the advantages of reduced operative duration, simplicity and feasibility.Wider popularization is recommended. Key words: Thoracoscopes; Eventration of diaphragm; Case-control study

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.