Congenital diaphragmatic hernia repair: patches, muscle flaps, and the search for the ideal technique
There is a variable defect size in both left and right-sided congenital diaphragmatic hernia. The majority can be repaired using primary apposition but in a significant minority this will not be possible. A number of surgical techniques have been developed to overcome this problem but in principle t...
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| Main Authors: | , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
February 2026
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| In: |
Journal of pediatric surgery
Year: 2026, Volume: 61, Issue: 2, Pages: 1-8 |
| ISSN: | 1531-5037 |
| DOI: | 10.1016/j.jpedsurg.2025.162752 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jpedsurg.2025.162752 Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0022346825005998 
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| Author Notes: | Kathrin Zahn, Joe Curry, Patrice Eastwood, Holly L. Hedrick, Pablo Laje |
MARC
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| 520 | |a There is a variable defect size in both left and right-sided congenital diaphragmatic hernia. The majority can be repaired using primary apposition but in a significant minority this will not be possible. A number of surgical techniques have been developed to overcome this problem but in principle these can be divided into the creation of a muscle flap usually derived from layers of the abdominal wall rotated into the gap or the insertion of a prosthetic patch. The composition of the latter has also been subject to variation and has been largely non-absorbable or absorbable and dependent on surgical preference. This article summarises the debate at a recent conference symposium by illustrating two forms of prosthetic patch repairs and a muscle flap repair. It concludes with an update on the efforts that have been made to achieve this using various tissue engineering technologies. | ||
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