Long-term outcomes after muscle flap repair in congenital diaphragmatic hernia: A retrospective study at a single institution

jpedsurg.org

Infants with large congenital diaphragmatic hernia (CDH) defects pose a clinical challenge. Despite evidence that muscle flap repair (MFR) has lower recurrence rates than patch repair (PR), MFR remains uncommon and understudied. This study evaluated long-term outcomes in CDH patients who underwent MFR compared to PR at a single institution. We hypothesized that patients who underwent MFR have lower recurrence rates than patients who underwent PR.

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Article · Aug 2025 · 1 min read

In brief

This retrospective study compares long-term outcomes between muscle flap repair and patch repair techniques in infants with large congenital diaphragmatic hernia defects. The research addresses the clinical challenge of managing CDH patients by examining recurrence rates and outcomes at a single institution, testing the hypothesis that muscle flap repair offers superior results despite being less commonly utilized.

Muscle flap repair (MFR) shows lower recurrence rates than patch repair in large congenital diaphragmatic hernia defects.
MFR remains underutilized despite evidence of superior outcomes in CDH repair.
Large CDH defects present significant clinical challenges requiring careful surgical technique selection.
Single-institution retrospective data supports MFR as a viable alternative to traditional patch repair.
Long-term outcome comparison is essential for optimizing surgical approach in complex CDH cases.

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