Marginal Indication for Thoracoscopic Surgery for Neonatal Bochdalek Hernia: “Anchor‐Shaped Closure” Technique for the Patient's Own Residual Diaphragm Using a Loop Needle Device

• DOI: 10.1111/ases.70032
• Publication Date: 2025-02-17T00:15:36Z
• Authors: Chihiro Kedoin; Koshiro Sugita; Toshio Harumatsu; Yumiko Tabata; Yumiko Iwamoto; Masato Ogata; Lynne Takada; Ayaka Nagano; Yudai Tsuruno; Masakazu Murakami; Keisuke Yano; Shun Onishi; Takafumi Kawano; Satoshi Ieiri
• Keywords: Thoracic cavity; Diaphragm (acoustics); Bochdalek hernia; Thoracoscopy; Pleural cavity; Video-assisted thoracoscopic surgery

ABSTRACT Introduction Surgical procedures to avoid using artificial materials require ongoing discussion. We herein report a case of thoracoscopic repair for congenital diaphragmatic hernia (CDH) via anchor‐shaped closure with the patient's own residual diaphragm loop needle device. Patient and Technique A 2‐day‐old boy prenatally diagnosed CDH underwent after his respiratory circulatory conditions had stabilized. The defect was typical Bochdalek CDH, approximately 2.5 × 4 cm. herniated organs thoracic cavity were stomach, small intestine, colon, spleen, left kidney. After these been gently returned abdominal under pneumothorax, medial side closed in anterior posterior directions six stitches Loeder's knot 3–0 non‐absorbable sutures. However, lateral third relatively large difficult close directions. therefore opted by fixing chest wall driving five external costal sutures thus an “anchor‐shaped” fashion diaphragm. This technique allows membranes be avoided infants. Discussion Considering possibility recurrence complications, indications our procedure are limited; however, we believe that there cases which this can provide cure. Our proposed may effective closing defects.