Recurent diaphragmatic hernia

Prosthetic patches for congenital diaphragmatic hernia repair: Surgisis vs Gore-Tex

“…Early studies reported a 22.4% recurrence rate for long-term survivors after primary closure alone [2]. Recent studies report increased rates of recurrence in patients who underwent patch vs primary repairs.…”

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

“…In these 9 patients, a major recurrence, which was defined by Cohen and Reid [12], occurred in 4 patients. Table 1 shows the background of these 4 patients.…”

“…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].…”

“…Repair using a reversed latissimus dorsi muscle flap is a well-known procedure for Re-CDH [5,12]. The benefit of this procedure is that the muscle flap is the own vascularized tissue, leading to easy adhesion to the surrounding tissue and growth in size over time, resulting in no recurrence of CDH after the procedure [2,5].…”

Congenital Diaphragmatic Hernia: State of the Art Reconstruction- Biologics Versus Synthetics

“…Synthetic patch repairs emerged historically as the predominant method of tension-free closure of defects not amenable to primary repair (Levison et al, 2006). Despite three decades of experience with synthetic patches, which offer a superb short term solution, recurrence rates are reported as high as 41% -46% at a median follow up of 12 months (Moss et al, 2001;Jancelewicz et al, 2010), compared to 10-22% rate following primary closure in long-term survivors (Jancelewicz et al, 2010;Cohen & Reid, 1981). Long-term studies showed that prosthetic grafts can result in recurrences in up to 50% of patients by 3 years of age (Moss et al, 2001).…”