Three Infantile Cases of Laparoscopic Herniorraphy for Late-Presenting Congenital Diaphragmatic Hernia

Abstract

We reported three infantile cases of laparoscopic herniorraphy for late-presenting congenital diaphragmatic hernia in this paper. Case 1: A 1-year, 4-monthold boy was diagnosed by chest X-ray with bronchitis. Case 2: An 8-month-old girl was diagnosed by chest Xray with RS virus infection. Case 3: A 5-month-old boy was diagnosed by computed tomography for evaluation of bilateral hydronephroureter. Case 1 was a pouch-existence type and was completely repaired by intra-corporeal knot tying. Case 2 had no pouch and was repaired by extra-corporeal knot tying combined with anchor sutures. Case 3 also had no pouch and was repaired by only extra-corporeal knot tying. It is important to decide the trocar positions for control of the needle holder in laparoscopic herniorraphy of latepresenting congenital diaphragmatic hernia. We arranged the trocar positions based on intra-operative laparoscopic findings and the defect shape of the diaphragm. So we could perform the knot tying safely in all 3 cases.