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Recurrent diaphragmatic hernia

D Cohen, I S Reid

    Journal of Pediatric Surgery
    |February 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Congenital diaphragmatic hernia recurrences occurred in 22.4% of survivors. An intercostal flap repair technique for recurrent diaphragmatic hernia proved satisfactory in all five cases, making it a recommended surgical option.

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    Area of Science:

    • Pediatric Surgery
    • Thoracic Surgery
    • Medical Case Reviews

    Background:

    • Congenital diaphragmatic hernia (CDH) is a serious birth defect.
    • Recurrence after initial repair presents a surgical challenge.
    • Understanding recurrence rates and effective management is crucial for patient outcomes.

    Purpose of the Study:

    • To review cases of congenital diaphragmatic hernia.
    • To determine the incidence of recurrence after CDH repair.
    • To describe and evaluate a specific surgical technique for recurrent CDH.

    Main Methods:

    • Retrospective review of 109 congenital diaphragmatic hernia cases.
    • Analysis of recurrence rates among survivors.
    • Description and application of the intercostal flap repair technique for recurrent CDH.

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    Main Results:

    • 58 out of 109 CDH patients survived.
    • 13 survivors (22.4%) experienced recurrent diaphragmatic hernia.
    • The intercostal flap repair technique was used in five recurrent cases with satisfactory outcomes.

    Conclusions:

    • Recurrence is a significant concern following CDH repair.
    • The intercostal flap repair technique is effective and recommended for managing recurrent diaphragmatic hernia.
    • Further surgical intervention for minor recurrences may not be necessary.