Synthetic Patch Repair of Recurrent Congenital Diaphragmatic Hernia in a 2-Year-Old Child: Case Report

Abstract

Approximately 150 children are born each day worldwide with congenital diaphragmatic hernia (CDH), characterized by a defect in the diaphragm and associated abnormal lung development. Despite significant advances in perinatal and neonatal care, surgical intervention for large defects remains non-standardized. Debate continues regarding the optimal reconstruction technique and the choice of material—whether biological or synthetic, absorbable or non-absorbable. Minimally invasive techniques (MIT) are applicable in stable patients with limited defects; however, their effectiveness in severe recurrences is questionable due to the higher recurrence rates and potential risks associated with hypercapnia and acidosis. Long-term data on the outcomes of MIT are limited.