Surgical management of the diaphragmatic defect in congenital diaphragmatic hernia: a contemporary review.

ABSTRACT: Worldwide, 150 children are born each day with congenital diaphragmatic hernia (CDH), a diaphragmatic defect with concomitant abnormal lung development. Patients with CDH with large defects are particularly challenging to treat, have the highest mortality, and are at significant risk of long-term complications. Advances in prenatal and neonatal treatments have improved survival in high-risk patients with CDH, but surgical treatment of large defects lacks standardization. Open repair by an abdominal approach has long been considered the traditional procedure, but the type of defect repair (patch or muscle flap) and patch material (non-absorbable, synthetic or absorbable, biological) remain subjects of debate. Increased experience and improved techniques in minimally invasive surgery (MIS) h

SUBMITTER: Jank M 

PROVIDER: S-EPMC11340723 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature