Abstract
We report our experience of thoracoscopic diaphragmatic procedures using Lapa-Her-ClosureTM under artificial pneumothorax in 2 cases.
Case 1 was a 9-month-old boy with right-sided diaphragmatic eventration. Three trocars were used. Under artificial pneumothorax, a Lapa-Her-ClosureTM needle with nonabsorbable suture was threaded through the grasped diaphragm, with two forceps to complete two-line continuous running and horizontal mattress sutures successfully.
Case 2 was an 8-month-old girl with right-sided Bochdalek hernia with a sac. Four trocars were used. At the dorsal side without muscle, the needle threaded through the supra- and infra-costal space and a knot was tied subcutaneously to anchor the muscle of hernia edge to the costal bone. A total of 9 sutures were needed to close the defect.
This procedure was simple, safe, cosmetically acceptable, and suitable for children with diaphragmatic disorders.
