Chest Latest Topicshttps://pediatricsurgeryclub.com/forum/233-chest/Chest Latest TopicsenEsophageal Atresia in Brief: Presentation, Workup, Diagnosis, and Treatmenthttps://pediatricsurgeryclub.com/topic/3837-esophageal-atresia-in-brief-presentation-workup-diagnosis-and-treatment/

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]]>3837Sun, 17 Aug 2025 17:39:27 +0000to broncho or not to broncho in EA/TOF repairhttps://pediatricsurgeryclub.com/topic/3835-to-broncho-or-not-to-broncho-in-eatof-repair/

]]>3835Sun, 17 Aug 2025 17:37:08 +0000in cases of tight Esophageal Anastomosis during TEF repairhttps://pediatricsurgeryclub.com/topic/3834-in-cases-of-tight-esophageal-anastomosis-during-tef-repair/

]]>3834Sun, 17 Aug 2025 17:36:30 +0000Diagnosis of H/N type TEFhttps://pediatricsurgeryclub.com/topic/3833-diagnosis-of-hn-type-tef/

]]>3833Sun, 17 Aug 2025 17:35:31 +0000Preop assessment of esophageal length in EA type Chttps://pediatricsurgeryclub.com/topic/3832-preop-assessment-of-esophageal-length-in-ea-type-c/

]]>3832Sun, 17 Aug 2025 17:34:48 +0000Timing of EA/TOF repairhttps://pediatricsurgeryclub.com/topic/3831-timing-of-eatof-repair/

]]>3831Sun, 17 Aug 2025 17:33:47 +0000during thoracoscopic repair of EA/TOFhttps://pediatricsurgeryclub.com/topic/3828-during-thoracoscopic-repair-of-eatof/

]]>3828Sun, 17 Aug 2025 17:31:14 +0000During dissection of upper esophageal pouchhttps://pediatricsurgeryclub.com/topic/3827-during-dissection-of-upper-esophageal-pouch/

]]>3827Sun, 17 Aug 2025 17:30:17 +0000Long gap EAhttps://pediatricsurgeryclub.com/topic/3826-long-gap-ea/

]]>3826Sun, 17 Aug 2025 17:29:19 +0000Laparoscopic Overview of Diaphragmatic Defectshttps://pediatricsurgeryclub.com/topic/3825-laparoscopic-overview-of-diaphragmatic-defects/video 1]]>3825Sun, 17 Aug 2025 17:28:07 +0000Gentilation in CDH caseshttps://pediatricsurgeryclub.com/topic/3823-gentilation-in-cdh-cases/

]]>3823Sun, 17 Aug 2025 17:25:44 +0000Before thoracoscopic CDH repairhttps://pediatricsurgeryclub.com/topic/3822-before-thoracoscopic-cdh-repair/

]]>3822Sun, 17 Aug 2025 17:25:00 +0000Very important point during preop counseling for CDHhttps://pediatricsurgeryclub.com/topic/3821-very-important-point-during-preop-counseling-for-cdh/

]]>3821Sun, 17 Aug 2025 17:24:11 +0000Relation between defect size and prognosis in CDHhttps://pediatricsurgeryclub.com/topic/3820-relation-between-defect-size-and-prognosis-in-cdh/

]]>3820Sun, 17 Aug 2025 17:22:43 +0000fetoscopic endo-tracheal occlusion In CDHhttps://pediatricsurgeryclub.com/topic/3819-fetoscopic-endo-tracheal-occlusion-in-cdh/

]]>3819Sun, 17 Aug 2025 17:21:45 +0000use of chest tube in CDH repairhttps://pediatricsurgeryclub.com/topic/3818-use-of-chest-tube-in-cdh-repair/

]]>3818Sun, 17 Aug 2025 17:20:47 +0000prognostic Factors in antenatally detected CDHhttps://pediatricsurgeryclub.com/topic/3817-prognostic-factors-in-antenatally-detected-cdh/

]]>3817Sun, 17 Aug 2025 17:20:02 +0000tracheal occlusion for severe diaphragmatic herniashttps://pediatricsurgeryclub.com/topic/3816-tracheal-occlusion-for-severe-diaphragmatic-hernias/

]]>3816Sun, 17 Aug 2025 17:19:22 +0000Timing of operation for CDHhttps://pediatricsurgeryclub.com/topic/3815-timing-of-operation-for-cdh/

]]>3815Sun, 17 Aug 2025 17:18:40 +0000Antenatal us findings in CDHhttps://pediatricsurgeryclub.com/topic/3814-antenatal-us-findings-in-cdh/Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"Three easily detectable features—polyhydramnios, mediastinal shift, and the absence of an intra-abdominal stomach bubble—should prompt a more careful search for herniated abdominal organs in the chest. Polyhydramnios is present in about 80% of the pregnancies with fetuses who have CDH and has also been associated with poor outcome. Routine antenatal ultrasound detects approximately 50–85% of cases of CDH. Lung-to-head ratio (LHR), the ratio of contralateral lung area to head circumference, measured by antenatal ultrasound, is used to predict the severity and outcome in CDH and to predict patients with poor outcome for antenatal intervention."

]]>3814Sun, 17 Aug 2025 17:17:49 +0000During CDH repairhttps://pediatricsurgeryclub.com/topic/3813-during-cdh-repair/Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"After the hernia is reduced, an attempt is made to visualize the ipsilateral lung. This is usually done by retracting the anterior rim of the diaphragm. Often, a hypoplastic lung can be observed at the apex. A hernial sac, composed of pleura and peritoneum, is present in about 20% of patients. The sac, if present, is excised to avoid leaving a loculated, space-occupying lesion in the chest"

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"Usually the anterior rim of the diaphragm is quite evident, but the posterior rim may not be immediately apparent and may require dissection for delineation. The posterior rim of the diaphragm is mobilized by incising the overlying peritoneum"

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"Using a prosthetic patch to close a defect that is too large to repair by direct suture. Various techniques have been described to close these large defects, including the use of prerenal fascia, rib structures, the latissimus dorsi muscle, rotational muscle flaps from the thoraco-abdominal wall, and prosthetic patches. The operations involving muscle flaps are too long and complex for critically ill patients and can lead to unsightly chest deformities. Prosthetic materials, including Marlex mesh, reinforced silicone elastomer, preserved pericardial heterografts, preserved dura, and the polytetrafluoroethylene patch (PTFE), have been advocated. The most commonly used prosthetic material presently is Surgisis® Soft Tissue Graft (Cook Medical; Bloomington, IN, USA), which is incorporated into adjacent tissue; this tends to lessen the risk of extension or displacement. The risk of infection is also decreased"

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"After closure of the defect with an open abdominal approach, the abdomen is closed in layers. If the abdominal cavity is small, gentle stretching of the abdominal wall will enable safe closure in most patients."

]]>3813Sun, 17 Aug 2025 17:17:02 +0000In congenital Diaphragmatic Herniahttps://pediatricsurgeryclub.com/topic/3812-in-congenital-diaphragmatic-hernia/

]]>3812Sun, 17 Aug 2025 17:15:53 +0000Benjamin Inglis classification of laryngeal cleftshttps://pediatricsurgeryclub.com/topic/3810-benjamin-inglis-classification-of-laryngeal-clefts/

]]>3810Sun, 17 Aug 2025 17:13:51 +0000dealing with deep lung lesionshttps://pediatricsurgeryclub.com/topic/3809-dealing-with-deep-lung-lesions/

]]>3809Sun, 17 Aug 2025 17:13:07 +0000Selection of Intercostal Space during thoracotomyhttps://pediatricsurgeryclub.com/topic/3808-selection-of-intercostal-space-during-thoracotomy/Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth -

"To limit postoperative morbidity, it is desirable and usually possible to employ a muscle-sparing approach, affording adequate exposure yet limiting or avoiding division of the serratus anterior and latissimus dorsi. The scapula is elevated off the chest wall by retractor to gain exposure, and palpation is used to count the ribs to the correct interspace. In most situations in infants, the highest palpable rib is the second. Generally, the fourth interspace is used for a lobectomy, although the fifth also can be used effectively."

]]>3808Sun, 17 Aug 2025 17:12:25 +0000