Hakkı Ata ERDENER, Coşkun ÖZCAN, Sibel TİRYAKİ, Görkem BULUT

Torakoskopik onarımın Bochdalek tipi doğuştan diyafragma hernisinde yüksek nüks oranı

Amaç: Bu çalışmada doğuştan diyafragma hernisinde torakoskopik onarım ardından gözlenen yüksek nüksün olası nedenleri araştırıldı.Çalışmaplanı:Bu çalışmada kliniğimizde Ağustos 2006 - Ağustos 2010 tarihleri arasında torakoskopik diafragma hernisi onarımı uygulanmış olan 14 çocuğun (8 erkek, 6 kız; ortalamaları tahmini gebelik yaşı 38.2 hafta; dağılım 36-40 hafta) tıbbi kayıtları retrospektif olarak incelendi. Hastaların demografik özellikleri, ameliyat sırası ayrıntıları ve hastaların solunum parametreleri nüks açısından değerlendirildi.Bul gu lar: Yalnızca bir hasta ağır pulmoner hipertansiyon nedeni ile kaybedildi. Ortalama izlem süresi dört yıl (dağılım 3-7 yıl) idi. Beş hastada nüks görüldü. Değerlendirilen parametreler açısından gruplar arasında anlamlı bir fark saptanmadı.So nuç: Doğuştan diyafragma hernisi, torakoskopik olarak onarıldığında yüksek nüks oranına sahiptir ve uygun hasta seçimi riskin düşürülmesinde önemlidir.

High recurrence rate in thoracoscopic repair of Bochdalek type congenital diaphragmatic hernia

Background: This study aims to determine the possible causes of high recurrence in thoracoscopic repair of congenital diaphragmatic hernia. Methods: Medical records of 14 children (8 boys, 6 girls; mean estimated gestational age of 38.2 weeks; range 36 to 40 weeks) who underwent thoracoscopic repair of Bochdalek type congenital diaphragmatic hernia in our clinic between August 2006 and August 2010 were retrospectively analyzed. Data including demographic characteristics, intraoperative details and respiratory status of the patients were reviewed in terms of recurrence. Results: Only one patient died due to pulmonary hypertension. The mean follow-up was four years (range, 3 to 7 years). Recurrence was seen in five patients. No significant difference in the parameters evaluated was found between the groups. Conclusion: Because of the high recurrence rate after thoracoscopic repair of the congenital diaphragmatic hernia, care must be taken to select the low risk patient for recurrence.

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