Congenital diaphragmatic hernias repair is feasible in peripheral hospitals

Laparoscopic repair of congenital diaphragmatic hernias can be done in suitable infants and children with good long-term results. The benefits includes lower risk infection, less intra-abdominal adhesions early recovery, while being a «scar-less» procedure. Materials methods. 3 patients included 9-months-old infant late presentation Bochdalek left hernia, 2 Morgagni hernia - 1-year-old 3-year-old toddler. All procedures were performed abdominal approach using 3- 5-mm ports, 30 degrees camera. Suturing the defect was unabsorbed materials (Ethibond® 4.0). Results. No intra-operative complications noted, all recovered quickly uneventfully, discharged between 3-6 postoperative day. Follow-up period is now 3-23 months so far there no evidence recurrence. Conclusions. surgery used more smaller cavities by pediatric surgeons. toddlers safely peripheral hospitals skilled surgeons However, our follow-up relatively short, because common recurrence rate those patients, 15-40% different reports, both laparoscopic open repair, long term required. research carried out accordance principles Helsinki declaration. informed consent patient obtained for conducting studies. conflict interests declared authors. Key words: children, hernias.