Thorakoskopische Korrektur einer angeborenen Zwerchfellhernie am 1. Lebenstag – Thoracoscopic repair of congenital diaphragmatic hernia by inflation-assisted bowel reduction, in a…

Elective endoscopic diaphragmatic hernia repairs have been reported. But endoscopic surgery was regarded unsuitable for emergency repair of diaphragmatic hernia in ventilated newborn children in bad general condition. We report a new method for inflation-assisted reduction and thoracoscopic repair of congenital diaphragmatic hernia diaphragmatic in a vitally endangered neonate. From three 2.7mm to 5mm accesses warmed low-pressure, low-volume CO2 was inflated into the thorax at 100ml/min and 2mm mercury. This allowed spontaneous reduction of the thoracic viscera into the abdomen and diaphragmatic suture with mini…