Congenital Absence of Hemidiaphragm and Use of a Lobe of Liver in Its Surgical Correction

Congenital Absence of the Right Hemidiaphragm

“…Including his own case, he had a total of 20, with 17 of left absence, and 3 of right. The latter were reported by Jenkinson (1931), Clarke and others (1935), and Neville (1954) ; they were all neonatal, and two of them died.…”

Herniation through congenital diaphragmatic defects

“…have A been from museum specimens or k o m autopsies on newborn infants, and it is clear that these defects are usually rapidly fatal. Clinically and radiologically such infants must be indistinguishable from infants with small posterolateral defects, but the only report I have seen of such extensive defects having been found at operations on infants is by Neville and Clowes (1954). In two infants with diaphragmatic hernias, one right-sided and the other left-sided, they found the hemidiaphragms almost completely absent.…”

Use of Bovine Pericardium for Congenital Absence of Left Diaphragm

“…D Di is sc cu us ss si io on n Many operative techniques such as; suturing the liver(2), prerenal fascia(3), synthetic materials(4), and muscle flap from the anterior and lateral lower thoracic wall(5) have been proposed for the repair of this large defect of the diaphragm when the muscular remnants cannot be approximated. Organic materials have their disadvantage of technical availability, whereas synthetic materials have been suggested to demonstrate dehiscence (2)(3)(4)(5). Despite these disadvantages, most of these materials especially synthetic ones were found to be acceptable.…”