International Journal of Surgery and Surgical Research

International Journal of Surgery and Surgical Research


International Journal of Surgery and Surgical Research
International Journal of Surgery and Surgical Research
2019, Vol. 1, Issue 2
A study of thoracoscopic repair versus open repair of congenital diaphragmatic Hernia: A prospective study

Puneet Srivastava, Richa Jaiman, Anurag Anand

Introduction: The surgical repair of CDH has been traditionally achieved with an open thoraco-abdominal approach. The Congenital Diaphragmatic Hernia Study Group (CDHSG) reported that the subcostal laparotomy is the most commonly approach for repair (91%). However, the proliferation of minimal invasive surgery [MIS] in pediatric surgery has allowed thoracoscopic repair of CDH. The aim of our study was to compare between open and thoracoscopic approaches in CDH repair Material and Methods: This prospective study namely “study of thoracoscopic repair versus open repair of congenital diaphragmatic hernia – a prospective study” was conducted in department of surgery, Sarojini Naidu Medical College and Hospital, Agra from January 2018 to June 2019 In 30 patients. These 30 patients were included in the study who were randomized in two groups of 15 patient each in study group and control group respectively. Discussion: The utilization of MIS approaches have been suggested to be advantageous over traditional open surgery including less pain and incisional complications, avoidance of thoracotomy-related sequelae, as well as reduction of surgical stress Conclusion: Thoracoscopic repair was superior to open technique in terms of post-operative pain, length of stay in hospital, ICU, and ventilator also post-operative initiation of feeding was early in thoracoscopic technique. Open technique take less time than thoracoscopic but post-operative complication was more in open technique in either short term as well as long term
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How to cite this article:
Puneet Srivastava, Richa Jaiman, Anurag Anand. A study of thoracoscopic repair versus open repair of congenital diaphragmatic Hernia: A prospective study. International Journal of Surgery and Surgical Research, Volume 1, Issue 2, 2019, Pages 12-17
International Journal of Surgery and Surgical Research