Traitement chirurgical par thoracoscopie de la hernie diaphragmatique congénitale
Main Article Content
Abstract
Thoracoscopy was inspired by the therapy of collapsed lung at the beginning of the 20th century in the epidemic of pulmonary tuberculosis. Minimally invasive surgery is increasingly becoming the first treatment proposal for left congenital diaphragmatic hernia.
A two-year-old child was hospitalized for a congenital diaphragmatic hernia, revealed late in the neonatal period; the preoperative preparation consisted in stabilizing the child on the hemodynamic and respiratory level, he benefited surgical repair by thoracoscopy, treatment of postoperative pain like any thoracic surgery. Normal feeding was obtained in 24 hours. Diaphragmatic hernia diagnosis out of neonatal period represents a polymorphism of symptoms including strangulation, can be diagnosed at any age, the left posterolateral form is the most common form.
Thoracoscopy was indicated as a first-line treatment given the small volume of gas insufflation sufficient to create a wide operating field with a collapsed lung. Cardiorespiratory intolerance is very rare with a small pressure, with a small volume and an insufflation stop as soon as the pressure of 6 mmHg is maintained. The analysis of this case and the review of the literature showed that the absence of a thoracotomy offers a better functional result.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
A- Open Access statement and license:
1-Open Access statement:
JFMO provides immediate open access to published content in support of the idea that free access to research helps support the dissemination of knowledge and ideas in the field of medical science. All articles will be published under Creative Commons licenses.
All published data is immediate free access to the work and permits any user to read, download, copy, distribute print, search, or link to the full texts of articles.
The users of any published material in the JFMO must act in accordance with the Creative Commons Licenses CC BY-NC-ND 4.0.
2-License:
All published data is distributed following the Creative Commons Licenses CC BY-NC-ND 4.0. This license is allowing others to download the works and share them with others as long as they correctly cite the manuscript, No changes are allowed to the original manuscript and the manuscript must be used only for non for profit or non-commercial purposes.
This work is licensed under a Creative Commons AttributionNonCommercial-NoDerivatives 4.0 International License.
3-Self Archiving:
Authors are permitted and encouraged to share online their articles published in JFMO (e.g., in institutional repositories or on their website), as it can lead to productive exchanges, as well as earlier and greater citation of published work.
