Experience with the use of Reverdin needle in neonatal thoracoscopic congenital diaphragmatic hernia repair





Diaphragmatic hernia, Reverdin needle, Thoracoscopy


Background: Congenital diaphragmatic hernia is the total or partial absence of the diaphragm, which can be unilateral or bilateral. Becmeur et al. in 2001 mentioned the thoracoscopic management approach for the first time.

Methods: The medical record of neonatal CDH thoracoscopic management (using the Reverdin Needle) from January to May 2021 at Dr. Roberto Gilberto Elizalde Children's Hospital located in Guayaquil, Ecuador was retrieved. Various parameters and characteristics were studied.

Results: Four patients were included in this study. M:F ratio was 3:1 with all having a type B left sided defect. The average duration of surgery was 157.5 minutes and 2 of them developed pulmonary hypertension in post-op period. All had good outcomes.

Conclusion: We propose that the possibility of a successful thoracoscopic surgery in congenital diaphragmatic hernia is increased with use of the Reverdin needle.


Download data is not yet available.


Metrics Loading ...

Author Biography

Vicente Anibal Salinas-Salinas, Pediatric Surgeon

Pediatric Surgery Deparment. Dr. Roberto Gilbert Elizalde Children`´`´```´¨`'s Hospital


García-Posada R, Gómez O, Martínez JM, Puerto B, Gratacós E. [Congenital diaphragmatic hernia: prognostic criteria and current status of prenatal treat¬ment]. Guía clínica Diagnóstico Prenat. 2012; 23:126-33. Article in Spanish

Mesas Burgos C, Frenckner B, Harting MT, Lally PA, Lally KP. Congenital Diaphragmatic Hernia Study Group. Congenital diaphragmatic hernia and associated ompha¬locele: a study from the CDHSG registry. J Pediatr Surg. 2020; 55:2099-2104. https://doi.org/10.1016/j.jped¬surg.2019.10.056.

Gross RE. Congenital hernia of the diaphragm. Am J Dis Child. 1946; 71:579-92.

Schneider A, Becmeur F. Pediatric thoracoscopic repair of congenital diaphragmatic hernias. J Vis Surg. 2018; 28:43. https://doi.org/10.21037/jovs.2018.02.03.

Puligandla PS, Skarsgard ED, Offringa M, Adatia I, Baird R, Bailey M, et al. Diagnosis and management of congen¬ital diaphragmatic hernia: a clinical practice guideline. CMAJ. 2018; 190:E103-E112. https://doi.org/10.1503/cmaj.170206.

Choudhry M, Rusu S, Brooks P, Ogundipe E, Chuang SL. Thoracoscopic repair of congenital diaphragmatic hernia in preterm neonate at 1 kilogram. European J Pediatr Surg Rep. 2021; 9:e13-e16. https://doi.org/10.1055/s-0040-1721473.

Gomes Ferreira C, Kuhn P, Lacreuse I, Kasleas C, Philippe P, Podevin G, et al. Congenital diaphragmatic hernia: an evaluation of risk factors for failure of thora¬coscopic primary repair in neonates. J Pediatr Surg. 2013; 48:488-95. https://doi.org/10.1016/j.jped¬surg.2012.09.060.

Fujishiro J, Ishimaru T, Sugiyama M, Arai M, Suzuki K, Kawashima H, et al. Minimally invasive surgery for dia¬phragmatic diseases in neonates and infants. Surg To¬day. 2016; 46:757-63. https://doi.org/10.1007/s00595-015-1222-3.

Wall JK, Sinclair TJ, Kethman W, Williams C, Albanese C, Sylvester KG, et al. Advanced minimal access surgery in infants weighing less than 3kg: A single center experience. J Pediatr Surg. 2018; 53:503-7. https://doi.org/10.1016/j.jpedsurg.2017.05.006.

Shalaby R, Gabr K, Al-Saied G, Ibrahem M, Shams AM, Dorgham A, et al. Thoracoscopic repair of diaphragmatic hernia in neonates and children: a new simplified technique. Pediatr Surg Int. 2008; 24:543-7. https://doi.org/10.1007/s00383-008-2128-6.

Putnam LR, Tsao K, Lally KP, Blakely ML, Jancelewicz T, Lally PA, et al. Minimally Invasive vs Open Congenital Diaphragmatic Hernia Repair: Is There a Superior Ap¬proach? J Am Coll Surg. 2017; 224:416-22. https://doi.org/10.1016/j.jamcollsurg.2016.12.050.

Chandrasekharan PK, Rawat M, Madappa R, Rothstein DH, Lakshminrusimha S. Congenital Diaphragmatic hernia - a review. Maternal Health Neonatol Perinatol. 2017; 11:6. https://doi.org/10.1186/s40748-017-0045-1.

Schlager A, Arps K, Siddharthan R, Clifton MS. Tube tho¬racostomy at the time of congenital diaphragmatic hernia repair: Reassessing the risks and benefits. J Laparoen¬dosc Adv Surg Tech A. 2017; 27:311-7. https://doi.org/10.1089/lap.2016.0233.

Liu W, Feng S, Lou Y, Wang A. Thoracoscopic versus open repair of congenital diaphragmatic hernia: A systematic review and meta-analysis. World J Surg Surgical Res. 2019; 2: 1169.



How to Cite

Salinas-Salinas VA, Acosta-Farina D, Oviedo-Vargas R, Oliveros-Rivero J, Acosta-Bowen D. Experience with the use of Reverdin needle in neonatal thoracoscopic congenital diaphragmatic hernia repair. J Neonatal Surg [Internet]. 2022Oct.27 [cited 2022Dec.3];11:29. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1081



Original Article

Most read articles by the same author(s)