Minimal access surgery for congenital diaphragmatic hernia: surgical tricks to facilitate anchoring the patches to the ribs

This retrospective study of 58 CDH repairs demonstrates a minimally invasive technique using the Endo Close device for patch anchoring to ribs, achieving a 3% recurrence rate. The authors advocate for a low threshold for patch use to ensure tension-free repair, with median operative time of 197 minutes for patch repairs.