ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
High recurrence rate in thoracoscopic repair of Bochdalek type congenital diaphragmatic hernia
Sibel Tiryaki1, Görkem Bulut2, Hakkı Ata Erdener2, Coşkun Özcan2
Department of Pediatric Surgery, Medical Faculty of Ege University, İzmir, Turkey
1Department of Pediatric Surgery, Erciş State Hospital, Van, Turkey
2Department of Pediatric Surgery, Medical Faculty of Ege University, İzmir, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.9271
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.

Keywords : Congenital diaphragmatic hernia; recurrence; thoracoscopic repair
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