Does Creating a Dome Reduce Recurrence in Congenital Diaphragmatic Hernia Following Patch Repair?

Retrospective study of 192 neonates with CDH found that creating a dome-shaped prosthetic patch repair (measured by vertical-horizontal diaphragm ratio >20% on chest X-ray) was associated with approximately half the recurrence rate compared to non-dome repairs (14% vs 28%). Authors propose this quantifiable radiographic approach may guide surgical technique to reduce CDH recurrence.