Surgical repair of bilateral congenital diaphragmatic hernia associated with hepatopulmonary fusion.

We reported the surgical repair of bilateral CDH in a male infant aged 6 weeks. The patient had herniation of the liver on the right side with HPF in association with anomalous drainage of the right pulmonary vein into the hepatic vein and ventricular septal defect. We approached both sides thoracoscopically; however, the right side required a subcostal incision. We separated the liver from the right lower lung lobe laterally using electrocautery, and the defect was closed with a mesh. The medial portion was left intact to avoid injury of the anomalous pulmonary venous drainage. After 2 weeks, the patients had a surgical repair of the cardiac defects, and the postoperative course was complicated by bleeding and prolonged ventilation. No hernia recurrence was observed after 9 months. PMID: 31522224 [PubMed - in process]
Source: Saudi Medical Journal - Category: Middle East Health Tags: Saudi Med J Source Type: research

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More News: Bleeding | Congenital Diaphragmatic Hernia | Congenital Diaphragmatic Hernia Repair | Gastroschisis Repair | Hernia Repair | Hole in the Heart | Liver | Middle East Health | Pediatric Hernia | Pediatric Hernia Repair | Perinatology & Neonatology | Saudi Arabia Health | Urology & Nephrology | Ventricular Septal Defect