Lower abdominal wall flap for closure of large diaphragmatic defects

Effectiveness of diaphragmatic repair using an abdominal muscle flap in patients with recurrent congenital diaphragmatic hernia

“…The disadvantage of it is thought to be performing by the thoracic approach and the deformity of the thoracic shape after the procedure [2,5]. In contrast, the AMF we used is also known to be a primary procedure for a CDH with a large diaphragmatic defect [6][7][8][9][10][11]. There are very few reports in which this procedure was applied to a Re-CDH with a large diaphragmatic defect [9].…”

“…Alternatively, some procedures using the patient's own muscle, including the AMF procedure, are also sometimes used in a small population of Re-CDH [5][6][7][8][9][10][11][12]. Repair using a reversed latissimus dorsi muscle flap is a well-known procedure for Re-CDH [5,12].…”

“…Until now, there have been few reports regarding the use of this AMF in the treatment of Re-CDH [9]. We re-did a repair of a Re-CDH using the AMF in 4 patients with a large diaphragmatic defect and herein report our experience in those 4 patients.…”

“…reported to use for the neonates or delayed onset CDH patients [6][7][8][9][10][11]. Until now, there have been few reports regarding the use of this AMF in the treatment of Re-CDH [9].…”

Abdominal muscle flap repair for large defects of the diaphragm

“…We describe the repair of nine such defects by using an abdominal muscle flap comprising the transversus abdominis and internal oblique muscles based on the intercostal and subcostal vessels. Although reports of similar flap repairs have been published in the literature [1][2][3][4][5], these employed a subcostal incision for abdominal entry, which we believe jeopardizes the flap's vascularity. Thus, we prefer to use an upper abdominal midline incision for abdominal entry in all cases of CDH and DE.…”