tailieunhanh - Báo cáo y học: "Recurrent late complications following congenital diaphragmatic hernia repair with prosthetic patches: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Recurrent late complications following congenital diaphragmatic hernia repair with prosthetic patches: a case series | JOURNAL OF MEDICAL Sr CASE REPORTS Case report Recurrent late complications following congenital diaphragmatic hernia repair with prosthetic patches a case series Basil Bekdash1 Baljit Singh2 and Kokila Lakhoo1 Address Department of Paediatric Surgery John Radcliffe Hospital Headington Oxford OX3 9DU UK and 2Nuffield Department of Surgery John Radcliffe Hospital Headington Oxford OX3 9DU UK Email BB - BS - KL - Corresponding author Open Access Published 26 May 2009 Received 10 January 2008 Journal of Medical Case Reports 2009 3 7237 doi 1752-1947-3-7237 Accepted 23 January 2009 This article is available from http jmedicalcasereports article view 7237 2009 Bekdash et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Many different prosthetic materials have been used for repair of large posterolateral congenital diaphragmatic hernias which cannot be primarily repaired. Almost 50 of patch repaired diaphragmatic hernias will recur. The ideal prosthetic material for congenital diaphragmatic hernia repair has yet to be established. We report on two cases with unusual calcification and late complications related to the prosthetic material used for diaphragmatic hernia repair. Case presentation We report two cases of antenatally diagnosed left-sided diaphragmatic hernia that were repaired with a patch due to total absence of a diaphragm. Both Caucasian patients developed recurrent late graft complications. Case one was repaired on day 17 post-stabilisation and developed recurrence at 14 1 months of age and again at 26 months of age. Case 2 underwent surgery on day 13 of life and developed .