{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:04:25Z","timestamp":1777921465792,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2020,11,1]],"date-time":"2020-11-01T00:00:00Z","timestamp":1604188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Thoracoscopic repair of congenital diaphragmatic hernia (CDH) has become a popular approach and several benefits have been published. Patch closure requires demanding thoracoscopic skills and therefore primary closure with tight sutures is often pursued, which increases the risk of recurrence. The purpose of this study was to create and assess the performance of a new technique for thoracoscopic repair of CDH, which facilitates the surgical procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>An innovative system for thoracoscopic repair of CDH with a novel patch was developed. The patch is self-expandable and offers a traction suture for stabilization, isolating and protecting the viscera. Its performance was assessed and compared with a conventional patch in an inanimate model of the disease through a quantitative and qualitative multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nine cases of CDH were repaired with each patch. The duration of the procedure was shorter (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05) and the level of difficulty was reported to be lower (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001) when using the self-expandable patch (SeP). The number of good quality knots was higher and adverse events were less common with this new technique.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The stabilizing SeP offers safe and ergonomic performance for thoracoscopic CDH repair, facilitating the surgical technique. The main advantage is that it keeps the viscera isolated into the abdomen while offering a flap on the thoracic side for suturing in a practical manner, minimizing the risk of visceral injury and saving surgical time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2020.0467","type":"journal-article","created":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T10:26:45Z","timestamp":1600770405000},"page":"1242-1247","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Innovative, Stabilizing Self-Expandable Patch for Easier and Safer Thoracoscopic Repair of Congenital Diaphragmatic Hernia"],"prefix":"10.1177","volume":"30","author":[{"given":"Cristobal","family":"Abello","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Cl\u00ednica CMI Pedi\u00e1trica International, Barranquilla, Colombia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Florencia","family":"Varela","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery Division, Center for Fetal and Placental Research, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Oria","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery Division, Center for Fetal and Placental Research, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA."},{"name":"College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomas","family":"Molinari","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Cl\u00ednica CMI Pedi\u00e1trica International, Barranquilla, Colombia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose L.","family":"Peiro","sequence":"additional","affiliation":[{"name":"Pediatric General and Thoracic Surgery Division, Center for Fetal and Placental Research, Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, Ohio, USA."},{"name":"College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,2]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sempedsurg.2007.01.004"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.5603\/GP.a2017.0005"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0095-5108(18)30201-X"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0035-1568996"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2011.03.001"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329532"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-015-4560-8"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.10.013"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0026-4946.17.05110-6"},{"key":"e_1_3_6_11_2","first-page":"1","article-title":"Thoracoscopic versus open repair of congenital diaphragmatic hernia: A systematic review and meta-analysis","volume":"2","author":"Shaoguang Feng","year":"2019","unstructured":"Shaoguang Feng, , Yi Lou, , Aihe Wang, , Weiguang Liu. 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