Patch repair of congenital diaphragmatic hernia is not at risk of poor outcomes
Author / Expert
Etienne Suply, Clare Rees, Kate Cross, Hesham Elagami, Simon Blackburn, Stefano Giuliani, Rashmi D'Souza, Anna L David, Jan Deprest, Joe Curry, Simon Eaton, Paolo De Coppi
Topic overview
Abstract
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
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