Recurrent congenital diaphragmatic hernia: A novel repair

Daniel A. Saltzman, Jared S. Ennis, John R. Mehall, Richard J. Jackson, Samuel D. Smith, Charles W. Wagner

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Background/Purpose: Repair of recurrent diaphragmatic hernia continues to be a difficult problem. An innovative method using a nonabsorbable polypropylene prosthetic mesh plug placed via the thoracic approach using minimal dissection is presented. Methods: A retrospective analysis showed 39 children with congenital diaphragmatic hernia (CDH) who underwent repair between January 1997 and March 2000. Five children suffered a recurrence and underwent repair via the thoracic approach using the Bard Marlex Mesh Perfix Plug (C.R. Bard Inc, Billerica, MA). Follow-up was available in all children and ranged from 1 to 33 months (average, 13.8 months). Results: Age at recurrence ranged from 2 to 48 months (average, 14.8 months), and the average time between initial repair and recurrence was 8.2 months (range, 2 to 16 months). There were no recurrences after the transthoracic mesh plug diaphragmatic hernioplasty. One child died of multiple congenital anomalies 6 months after repair. Conclusion: The transthoracic repair of recurrent diaphragmatic hernias using a nonabsorbable polypropylene prosthetic mesh plug represents an innovative approach to a difficult problem in which 5 repairs have been accomplished without recurrence in nearly 14 months of follow-up.

Original languageEnglish (US)
Pages (from-to)1768-1769
Number of pages2
JournalJournal of Pediatric Surgery
Volume36
Issue number12
DOIs
StatePublished - 2001

Keywords

  • Mesh plug hernioplasty
  • Recurrent diaphragmatic hernia
  • Transthoracic repair

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