Surgical approaches to congenital diaphragmatic hernia

Surgical repair of the diaphragm is essential for survival in congenital diaphragmatic hernia (CDH). There are many considerations surrounding the operation – why the operation matters, optimal timing of repair and its relation to extracorporeal life support (ECLS) use, minimally invasive versus ope...

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Bibliographic Details
Published in:	Seminars in pediatric surgery Vol. 33; no. 4; p. 151441
Main Authors:	King, Sarah, Carr, Benjamin D.E., Mychaliska, George B., Church, Joseph T.
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-08-2024
Subjects:	Congenital diaphragmatic hernia (CDH) Extracorporeal life support (ECLS) Extracorporeal membrane oxygenation Extracorporeal Membrane Oxygenation - methods Hernias, Diaphragmatic, Congenital - surgery Herniorrhaphy - methods Humans Infant, Newborn Muscle flap Patch Surgical repair Extracorporeal membrane oxygenation Congenital diaphragmatic hernia (CDH) Patch Surgical repair Muscle flap Extracorporeal life support (ECLS)
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Summary:	Surgical repair of the diaphragm is essential for survival in congenital diaphragmatic hernia (CDH). There are many considerations surrounding the operation – why the operation matters, optimal timing of repair and its relation to extracorporeal life support (ECLS) use, minimally invasive versus open approaches, and strategies for reconstruction. Surgery is both affected by, and affects, the physiology of these infants and is an important factor in determining long-term outcomes. Here we discuss the evidence and provide insight surrounding this complex decision making, technical pearls, and outcomes in repair of CDH.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23
ISSN:	1055-8586 1532-9453 1532-9453
DOI:	10.1016/j.sempedsurg.2024.151441