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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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Hauptverfasser: Zahn, Katrin (VerfasserIn) , Curry, Joe (VerfasserIn) , Eastwood, Patrice (VerfasserIn) , Hedrick, Holly L. (VerfasserIn) , Laje, Pablo (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: February 2026
In: Journal of pediatric surgery
Year: 2026, Jahrgang: 61, Heft: 2, Pages: 1-8
ISSN:1531-5037
DOI:10.1016/j.jpedsurg.2025.162752
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jpedsurg.2025.162752
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0022346825005998
Volltext
Verfasserangaben:Kathrin Zahn, Joe Curry, Patrice Eastwood, Holly L. Hedrick, Pablo Laje
Beschreibung
Zusammenfassung: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.
Beschreibung:Gesehen am 05.03.2026
Online verfügbar: 21. Oktober 2025, Artikelversion: 23. Januar 2026
Beschreibung:Online Resource
ISSN:1531-5037
DOI:10.1016/j.jpedsurg.2025.162752

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