Laparoscopic surgery of congenital paraesophageal hernia in newborns and infants.

Autor:	Pérez Egido L; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., García-Casillas MA; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., Del Cañizo A; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., Peláez D; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., Fanjul M; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., Ordoñez Pereira J; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., Bada Bosch I; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., de la Torre M; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., Cerdá JA; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain)., De Agustín JC; Pediatric Surgery Department. Gregorio Marañón University Hospital, Madrid (Spain).
Jazyk:	English; Spanish; Castilian
Zdroj:	Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica [Cir Pediatr] 2021 Jul 01; Vol. 34 (3), pp. 138-142. Date of Electronic Publication: 2021 Jul 01.
Abstrakt:	Introduction: Congenital paraesophageal hernia (CPH) is a rare pathology in pediatric patients. Clinical signs may occur as early as in newborns, which means it requires early surgical repair. Clinical Cases: This is a series of three patients under 1 year of age diagnosed with type IV CPH - with symptoms occurring since they were newborns - who underwent laparoscopic surgical repair. One patient had been diagnosed prenatally. Age at surgery was 6 days, 36 days, and 9 months, respectively. Weight at surgery was 3.60 kg, 3.79 kg, and 8.20 kg, respectively. The patients underwent laparoscopy, with removal of the hernia sac, closure of the diaphragmatic pillars, placement of a reinforcement absorbable mesh, and Nissen fundoplication. Mean operating time was 130 minutes. No intraoperative complications were recorded. One patient developed a sliding hernia, which was subsequently repaired without complications. Mean follow-up time was 24 months.
Databáze:	MEDLINE
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