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Introduction: Congenital diaphragmatic hernia usually occurs in childhood. Presentation in adulthood is extremely rare. Surgical repair has been associated with low morbidity and mortality and excellent long term outcomes with low rate of recurrence. Here we present our experience of surgical management of diaphragmatic hernia over the last 10 years. Material and Methods: Records of 40 patients who underwent surgery for adult diaphragmatic hernia between January 2007 to December 2017, were reviewed retrospectively. Results: Median age of presentation was 38 (18-71) years with a male female ratio of 1.6:1. The most common symptom was breathlessness, followed by chest discomfort. Laparotomy and mesh repair was the most commonly performed procedure followed by anatomical repair. No recurrence was reported during the follow-up period ranging from 3 months to 7 years. Conclusion: Congenital diaphragmatic hernia is a rare surgical condition primarily diagnosed in infants and seen rarely in adults. Surgical repair has been associated with low morbidity and mortality and excellent long term outcomes with low rate of recurrence.

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Harmonious occlusion is a critical requirement for successful oral rehabilitation. Conventional techniques of construction have been unsuccessful in producing a prosthesis that can be inserted without intraoral occlusal adjustment. This article discusses the use of functionally generated path technique with double casting to fabricate fixed partial dentures. The merits of this approach and the technique involved are discussed in detail.