PURPOSE: @entity86 and @entity1143 remain a concern following @entity2914 ( @entity2914 ) repair. Despite a recent trend away from intraoperative thoracostomy, few studies have actually compared outcomes with and without a chest tube. Rationale commonly cited for the more minimalistic approach include the presumed low likelihood of @entity260 , potential risk of @entity281 , and prolonged intubation. We evaluate these theories, as well as the implications of intraoperative chest tube (IOCT) placement. METHODS: We performed a retrospective chart review of 174 @entity1 who underwent @entity2914 repair at our academic @entity1 's hospital from 2004 to 2015. We compared incidence of clinically significant pleural events between @entity1 who received an IOCT (n   =   49) and those who did not (NIOCT, n   =   124). We also evaluated time to extubation and rate of patch infections. RESULTS: Clinically significant pneumothorax or @entity1143 occurred in 28% of NIOCT @entity1 versus 10% of IOCT @entity1 (P   =   .01). After thoracoscopic repair, time to extubation averaged 5.2 days in IOCT @entity1 , 5.4 days in NIOCT @entity1 with no @entity260 , and 6.4 days in NIOCT @entity1 requiring postoperative intervention. After open repair, time to extubation averaged 13.8, 13.6, and 22.5 days, respectively. There were no documented patch infections. CONCLUSIONS: Chest tube placement during @entity2914 repair is associated with significantly lower incidence of clinically significant @entity456 , does not delay extubation, and results in shorter ventilator times than cases that require postoperative intervention. @entity281 are extremely rare. There is no evidence that chest tube placement increases this risk.

Tube Thoracostomy at the Time of XXXX Repair: Reassessing the Risks and Benefits.

@entity1143 :: ('MESH:D010996', 'Disease') :: ['effusion'] @entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity2914 :: ('MESH:D065630', 'Disease') :: ['CDH', 'congenital diaphragmatic hernia'] @entity281 :: ('MESH:D007239', 'Disease') :: ['patch infection', 'Patch infections'] @entity86 :: ('MESH:D019106', 'Disease') :: ['Postoperative pneumothorax'] @entity456 :: ('MESH:D010995', 'Disease') :: ['pleural complications']
@entity2914 :: (MESH:D065630,Disease) :: ['Congenital Diaphragmatic Hernia']
