Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137

Site search

Correspondence address
310 Mira Street, Stavropol, Russia, 355017

+7 8652 352524; +7 8652 353229.

+7 8652 352524.


Toracoabdominal access in surgical treatment of congenital left-sided diaphragmal hernas

Mikhail Chepurnoy; Boris Rosin; Gennady Chepurnoy; Valery Katsupeev; Andrey Kivva; Yury Khoronko; Roman Astakhov; Maksim Kovalyov;

The study includes the results of 159 surgical interventions in newborns with left-sided diaphragmatic hernia, performed in the Pediatric Surgical Clinic of RostSMU for a 35-year period. In 139 patients transabdominal access was performed, in 2 – transthoracic one and in 18 – thoraco-abdominal access. According to the authors, transthoracic access has a number of negative characteristics that turn the operation with this access into a difficult, complex and dangerous surgical intervention due to viscero-abdominal disproportion. Based on the analysis of the work, the authors prefer a thoraco-abdominal access, and thoracotomy should be used only for recurrent diaphragmatic hernia diagnosed in the long-term postoperative period and for diaphragmatic hernia with an initially small amount of abdominal organs located in the pleural cavity.


1. Isakov Yu. F. (edit). Khirurgicheskie bolezni detskogo vozrasta. М., 2006. (In Russ.).
2. Lovskaya I. I., Chepurnoy M. G., Chepurnoy G. I., Katsupeev V. B., Rozin B. G. Surgical treatment of congenital left-sided diaphragmatic hernias. Medicinskii vestnik Yuga Rossii. – Medical Bulletin of southern Russia. 2013;1:86-88. (In Russ.).
3. Hajer G. F., Vd Staak F. H., Festen C., Vd Staak F. H. J. M., De Haan A. F. J. Recurrent congenital diaphragmatic hernia; which factors are involved? Eur. J. Pediatr. Surg.1998;8:329-333.
4. Parikh D. H., Crabbe D. G., Auldist A. S., Rothenberg S. S. (edit.) Pediatric. Thoracic Surgery. Springer, 2009.
5. Kozlov Yu. A., Novozhilov V. A., Rasputin A. A., Syrkin N. V., Podkamenev A. V. [et al.]. Traction elongation of the diaphragm – method of the treatment of large diaphragmatic defects. Detskaya Khirurgiya. – Pediatric Surgery. 2012;(6):18-20. (In Russ.).
6. Kozlov Yu. A., Novozhilov V. A., Rasputin A. A., Kononenko M. I., Kuznetsova N. N. [et al.]. Comparison of open and thoracoscopic surgery of congenital diaphragmatic hernias in newborns and young children. Detskaya Khirurgiya. – Pediatric Surgery. 2013;5:29-34. (In Russ.).
7. Razumovskiy A. Yu., Mokrushina O. G., Belyaeva I. D., Levitskaya M. V., Shumikhin V. S. [et al.]. Comparison analyses of the treatment of congenital diapgragmatic hernia of newborns after open and thoracoscopic plasty of the diaphragm. Detskaya Khirurgiya. – Pediatric Surgery. 2012;3:4-8. (In Russ.).
8. Razumovskiy A. Yu., Mokrushina O. G., Shumikhin V. S., Shchapov N. F., Smirnova S. V. [et al.]. Thoracoscopic correction congenital diaphragmatic pseudohernia applying implants. Rossiyskii vestnik detskoy khirurgii, anesteziologii i reanimatologii. – Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2016;6(1):87-92. (In Russ.).
9. Tarasov A. Yu., Savvina V. A., Okhlopkov M. E., Nikolaev V. N., Varfolomeev A. R. Endoscopic treatment of diaphragmatic hernia in children. Detskaya Khirurgiya. – Pediatric Surgery. 2012;6:21-23. (In Russ.).
10. Becmeur F., Reinberg O., Dimitriu C., Moog R., Philippe P. Thoracoscopic repair of congenital diaphragmatic hernia in children. Semin. Pediatr. Surg. 2007;16(4):238-244.
11. Lovskaya I. I., Chepurnoy M. G., Chepurnoy G. I., Katsupeev V. B., Rozin B. G. Postoperative recidives of congenital diaphragmatic hernia. Meditsinskii vestnik Severnogo Kavkaza. – Medical News of North Caucasus. 2014;9(1):19-21. (In Russ.). https://doi.org/10.14300/mnnc.2014.09005

Keywords: congenital diaphragmatic hernias, access, surgery, children

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy