Thoracoscopic Repair of Congenital Diaphragmatic Hernia, relation of defect size and the ideal plan of repair.

Background: The Congenital Diaphragmatic hernia (CDH) is considered one of the most problematic anomalies in neonates, it is known as a protrusion of abdominal contents through diaphragmatic defect into the thoracic cavity. It has certain sites for the defects, even posterolateral (Bockdalek), or anteriorly (Morgagni), it causes certain complications starting from dyspnea, cyanosis, lungs development affection and may be ended with death. Despite advancements in the care of congenital diaphragmatic hernia (CDH), the recurrence rate remains elevated. This study aims to assess the safety and strategies of thoracoscopic repair for CDH. Patient and methods: this is a prospective study rolled on 60 patients diagnosed by congenital diaphragmatic hernia during the period of May 2018 to March 2022, an admission sheet filled for every case data included personal history, full examination and any needed investigations, then a sheet with operative time, intraoperative hazards and post-operative follow up and complications was recorded. Results: will be shown in figures and tables. Conclusion: Thoracoscopic repair is a safe method used for repair of CDH in selected patients, although there was no clinically significant difference in pH and paCO2 levels pre- and post-operative and it is significantly reducing mechanical ventilation days, The high incidence of mortality or recurrence rates was related significantly to intraoperative surgical maneuver regarding size of defect and contents herniated which is crucial in post operative outcomes.