Outcome of Congenital Diaphragmatic Hernia Repair Depending on Patch Type

A review of patch options in the repair of congenital diaphragm defects

“…We readdressed the issue in a larger series 5 years later with more complete follow-up. We investigated 37 patients with SIS Ò repair, 12 patients with nonabsorbable and 5 with AlloDerm Ò [36]. At this point, the rate of bowel obstruction equilibrated at 21% for biologic mesh and 17% with the non-absorbable mesh (P = 0.72).…”

Congenital diaphragmatic hernia: a case report and review of literature

“…Per-operatively the herniated viscera are carefully reduced into the abdomen and the diaphragmatic orifice is closed with interrupted sutures through a subcostal or transverse abdominal incision.No intercostal tube drainage is necessary. Large defects are closed by a prosthetic patch [11,12] sutured to the rims of the orifice with interrupted sutures.Patch closure may increase the risk of re-herniation [13][14][15][16]. Abdominal wall or latissimus dorsi flaps may be used for CDH repair [17][18][19][20].…”

Congenital diaphragmatic hernia

“…Some very small reports suggest better outcome with Permacol compared to Gore-Tex. However, Laituri et al [19] found the incidence of small bowel obstruction (SBO) in patients with a nonabsorbable mesh was 17% and was associated with a 50% recurrence rate and 67% re-recurrence rate. Whereas Surgisis was associated with 19% incidence of SBO, a recurrence rate of 22% and a 50% re-recurrence rate.…”