From
StayCurrentMD
Quick Literature Updates Episode 20
With Dr. Alex Halpern · hosted by Dr. Em Gootee & Lizzy Lee, PA-C & Dr. Cecilia Gigena
Chapter 1 of 4 · Evidence & Research
CDH repair comparison
CDH repair: thoracoscopic versus open
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Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Meta-analysis by Shibuya et al. included 709 patients from 15 research studies across multiple international centers comparing thoracoscopic versus open repair for congenital diaphragmatic hernia.
Thoracoscopic repair for congenital diaphragmatic hernia has higher recurrence rates compared to open repair.
Thoracoscopic repair for congenital diaphragmatic hernia has longer operative times compared to open repair.
Thoracoscopic repair for congenital diaphragmatic hernia has a lower incidence of postoperative bowel obstruction compared to open repair.
Ziegler et al. prospective study included 10 patients with giant omphalocele and 6 with complicated gastroschisis using a traction-assisted abdominal wall closure device (Fascia Tense Pediatric).
Complete fascial closure was achieved after a median of 7 days in children with giant omphalocele using the Fascia Tense Pediatric device.
Complete fascial closure was achieved after a median of 5 days in children with complicated gastroschisis using the Fascia Tense Pediatric device.
No patients developed abdominal compartment syndrome after traction-assisted closure with Fascia Tense Pediatric.
No ventral hernias occurred after a median follow-up of 12 months in patients who underwent traction-assisted closure with Fascia Tense Pediatric.
Esposito et al. retrospective comparison conducted in Italy included 83 patients who underwent laparoscopic cholecystectomy without ICG (group one) and 90 patients with ICG (group two).
Laparoscopic cholecystectomy with ICG had no complications compared to 12% complication rate without ICG.
Laparoscopic cholecystectomy with ICG had shorter surgery time compared to without ICG.
Laparoscopic cholecystectomy with ICG provided better visualization of the biliary tree compared to without ICG.
Laparoscopic cholecystectomy with ICG can be the new standard in pediatric surgery practice.