Application value of minimally invasive fascial closure device in pediatric thoracoscopic diaphragm surgery
JIAN Ziwei
WANG Bingjie
CHEN Wenyou
CHEN Jinrong
Abstract：Objective To explore the application value of minimally invasive fascial closure device in pediatric thoracoscopic diaphragm surgery.Methods The clinical data of 7 cases of diaphragmatic hernia and 1 case of diaphrag-matic distension who were admitted to Zhangzhou Affiliated Hospital of Fujian Medical University from January 2019 to November 2022 were retrospectively analyzed.A minimally invasive fascial closure device was used to assist the patients with diaphragmatic hernia repair or diaphragmatic folding under thoracoscope.Results The surgical process went smoothly,and all the patients were placed with thoracic drainage tube after surgery.Four cases of neonates needed to be assisted by ventilators after surgery,and 3 cases of the four neonates had their ventilators removed on the 2nd,4th and 5th day after surgery,and 1 case of the four neonates with chromosomal abnormalities developed recurrent pneumothorax and wheezing on the third day after removal of the thoracic drainage tube and tracheal intubation.The tubes were re-inserted,and pulmonary hemorrhage occurred on the 21st day after surgery.On the 24th day after surgery,the patient was volun-tarily discharged at the request of the patient's family members.Except for 1 case who was discharged voluntarily,the other 7 cases had their thoracic drainage tubes removed from 2 days to 11 days after surgery,with an average of 4.4 days.Among the 7 cases,2 cases had their thoracic drainage tubes removed more than 7 days(9 and 11 days,respectively).The length of postoperative hospitalization was 8-17 days,with an average of 11.8 days.Chest X-rays were re-examined before discharge,and abnormal results were not found.The patients were followed up for 6-12 months after surgery,and no recurrence was observed on the re-examined chest X-rays.Conclusion It is safe and effective to use minimally invasive fascial closure device assisted under thoracoscope to repair diaphragmatic hernia or diaphragmatic folding in pediatric patients.
Keywords：Minimally invasive fascial closure deviceDiaphragmPediatric thoracoscope
Publication Date：2024-01-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 94-97 )