Repair of a large congenital diaphragmatic defect with a reverse latissimus dorsi muscle flap

• Type: Article in International Scientific Journal
• Date: 2008

Authors

Barbosa, RF (Author) Other; Rodrigues, JM (Author) FMUP; Correia Pinto, J (Author) Other; Costa-Ferreira A (Author) FMUP; Cardoso, A (Author) Other; Reis, JC (Author) Other; Amarante J (Author) FMUP

Journal

Title: Microsurgery

Vol. 28 No. 6

Pages: 85-88

ISSN: 0738-1085

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 10 Citations

Scopus - 15 Citations

Other information

Authenticus ID: P-004-456

DOI: 10.1002/micr.20455

Abstract (EN): Advances in neonatal care have led to an increase in the survival rate of children with large congenital diaphragmatic defects. Reconstruction by direct closure is not usually possible and surgical correction in the newborn consists of synthetic patch closure. Recurrence and complications are high with this technique and a latter reconstruction with living tissue is now advocated. We report a case of congenital diaphragmatic hernia treated initially by synthetic patch closure and 10 months latter, after a recurrence, with a reinnervated reverse latissimus dorsi (RLD) flap. We used an end-to-side neural coaptation of the thoracodorsal nerve to the phrenic nerve. The result was satisfactory, with remission of symptoms and improvement in growth and development, with permanent pleuro-peritoneal separation, normal lung growth, and apparent neodiaphragmatic function. (C) 2008 Wiley-Liss, Inc.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4