INTRODUCTION: Many different prosthetic materials have been used for repair of large posterolateral congenital diaphragmatic hernias, which cannot be primarily repaired. Almost 50% of patch repaired diaphragmatic hernias will recur. The ideal prosthetic material for congenital diaphragmatic hernia repair has yet to be established. We report on two cases with unusual (calcification) and late complications related to the prosthetic material used for diaphragmatic hernia repair. CASE PRESENTATION: We report two cases of antenatally diagnosed left-sided diaphragmatic hernia that were repaired with a patch due to total absence of a diaphragm. Both Caucasian patients developed recurrent late graft complications. Case one was repaired on day 17 post-stabilisation and developed recurrence at 14(1/2) months of age and again at 26 months of age. Case 2 underwent surgery on day 13 of life and developed recurrence at 4 months and again at 3 years of age. In the recurrent repairs, both synthetic and biomaterial patches were used. Both patients are well at long-term follow-up of 10 and 7 years, respectively. CONCLUSION: The ideal choice of patch material for diaphragmatic hernia repair remains a therapeutic challenge.
INTRODUCTION: Many different prosthetic materials have been used for repair of large posterolateral congenital diaphragmatic hernias, which cannot be primarily repaired. Almost 50% of patch repaired diaphragmatic hernias will recur. The ideal prosthetic material for congenital diaphragmatic hernia repair has yet to be established. We report on two cases with unusual (calcification) and late complications related to the prosthetic material used for diaphragmatic hernia repair. CASE PRESENTATION: We report two cases of antenatally diagnosed left-sided diaphragmatic hernia that were repaired with a patch due to total absence of a diaphragm. Both Caucasian patients developed recurrent late graft complications. Case one was repaired on day 17 post-stabilisation and developed recurrence at 14(1/2) months of age and again at 26 months of age. Case 2 underwent surgery on day 13 of life and developed recurrence at 4 months and again at 3 years of age. In the recurrent repairs, both synthetic and biomaterial patches were used. Both patients are well at long-term follow-up of 10 and 7 years, respectively. CONCLUSION: The ideal choice of patch material for diaphragmatic hernia repair remains a therapeutic challenge.
Authors: R M Sydorak; W Hoffman; H Lee; C D Yingling; M Longaker; J Chang; B Smith; M R Harrison; C T Albanese Journal: J Pediatr Surg Date: 2003-03 Impact factor: 2.545
Authors: Mirko Muroni; Giuseppe Provenza; Stefano Conte; Andrea Sagnotta; Niccolò Petrucciani; Ivan Gentili; Tatiana Di Cesare; Andrea Kazemi; Luigi Masoni; Vincenzo Ziparo Journal: J Med Case Rep Date: 2010-08-24