Late presentation of Bochdalek hernia in children - experience at a single centre.

IF 0.4 4区医学 Q4 SURGERY South African Journal of Surgery Pub Date : 2024-10-01

S Arslan, M H Okur, M Azizoğlu, E Basuguy, B Aydoğdu, I Akbudak, M K Ciğdem, A Onen, S Otcu

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Abstract

Background: The aim of this study was to present our experience with late presentation Bochdalek hernia (BH), focussing on clinical presentation diagnostic and therapeutic approaches, and their outcomes.

Methods: Patients with late presenting BH 1 month of age between 1983 and 2022 were studied. We retrospectively collected and analysed the following data: age, sex, side of herniation, presenting symptoms and signs, associated anomalies, radiographic findings, intraoperative findings, postoperative course, complications, and mortality.

Results: Of 175 diaphragmatic hernias 46 (26%) were late presenting BH. Fifty-seven per cent (26/46) were males. Laparotomy was performed in 85% (39/46) of the patients, and a laparoscopy or thoracoscopy was performed in 15% (7/46). The mean hospital stay was 7.6 days, and the mean surgery time was 131 minutes. When the two groups were compared, the duration of surgery and hospitalisation was significantly shorter in the minimally invasive surgery (MIS) group (p < 0.05).

Conclusion: The clinical characteristics of late presenting BH are variable, either acute or chronic. A laparoscopic or thoracoscopic approach in selected patients is feasible.

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儿童波赫达雷克疝的晚期表现--一个中心的经验。

背景：本研究的目的是介绍我们在治疗晚期波赫达雷克疝（BH）方面的经验：本研究的目的是介绍我们在晚期波赫达雷克疝（BH）方面的经验，重点是临床表现、诊断和治疗方法及其结果：研究对象为1983年至2022年间出生1个月的晚期BH患者。我们回顾性地收集并分析了以下数据：年龄、性别、疝侧、症状和体征、相关异常、影像学结果、术中结果、术后过程、并发症和死亡率：在 175 例膈疝中，有 46 例（26%）是晚期出现的 BH。57%（26/46）为男性。85%的患者（39/46）接受了腹腔镜手术，15%的患者（7/46）接受了腹腔镜或胸腔镜手术。平均住院时间为 7.6 天，平均手术时间为 131 分钟。对比两组患者，微创手术（MIS）组的手术时间和住院时间明显更短（P < 0.05）：结论：晚期 BH 的临床特征各不相同，有的是急性的，有的是慢性的。结论：晚期 BH 的临床特征各不相同，有的是急性的，有的是慢性的。在选定的患者中采用腹腔镜或胸腔镜方法是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

South African Journal of Surgery 医学-外科

CiteScore

0.80

自引率

20.00%

发文量

审稿时长

>12 weeks

期刊介绍： The South African Journal of Surgery (SAJS) is a quarterly, general surgical journal. It carries research articles and letters, editorials, clinical practice and other surgical articles and personal opinion, South African health-related news, obituaries and general correspondence.

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