Patch repair of congenital diaphragmatic hernia is not at risk of poor outcomes
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Read the article on jpedsurg.org ↗Article · Nov 2019 · 1 min read
In brief
In brief
This retrospective study of 203 CDH patients (2000-2016) found that patch repair, when performed using tension-free technique, does not increase risk of poor outcomes compared to primary repair. Despite higher preoperative ECMO use in patched cases, recurrence rates were comparable between groups.
Written by the GCMD Library team from the article.
Purpose
Recurrence of congenital diaphragmatic hernia (CDH) was retrospectively evaluated after correction with or without a patch in an institution where tension-free repair is advocated.
Methods
Demographics and outcomes of patients with a postero-lateral CDH repaired (2000–2016) were analyzed (univariate tests and binary logistic regression adjusting for time since start of study, gender, defect side, liver herniation, patch, surgical approach, absence of postero-lateral rim and length of follow-up).
Results
Of 203 patients, 107 received a patch (P), and 96 were not patched (NP). Groups were not different for gestational age birthweight, gender, defect side and minimally invasive approach rate. Preoperative ECMO incidence (P:29.9% vs. NP:2.1%, p