Link: http://www.ncbi.nlm.nih.gov/pubmed/25913592

Asian J Endosc Surg. 2015 May;8(2):219-22. doi: 10.1111/ases.12172.

Thoracoscopic repair of a large neonatal congenital diaphragmatic hernia using Gerota's fascia.
Fukuzawa H1, Tamaki A, Takemoto J, Morita K, Endo K, Iwade T, Yuichi O, Bitoh Y, Yokoi A, Maeda K.
Author information

Abstract
A large congenital diaphragmatic hernia needing patch repair has a high risk of recurrence. Thus, managing these large congenital diaphragmatic hernias under thoracoscopy has become a problem. Here, a large congenital diaphragmatic hernia that was repaired using Gerota's fascia under thoracoscopy is reported. In the present case, it was impossible to close the hernia directly under thoracoscopy because the hernia was too large. Gerota's fascia was raised up by the left kidney and used for the repair. The left colon adhering to Gerota's fascia was mobilized, and a large space was made under thoracoscopy. Gerota's fascia was fixed to the diaphragmatic defect. The patient's postoperative course was good, and there was no recurrence. This technique could be one option for repairing a large hernia under thoracoscopy.

© 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

KEYWORDS:
Congenital diaphragmatic hernia; Gerota's fascia; thoracoscopic repair
PMID: 25913592 [PubMed - in process]