Craig T. Albanese, MD, MBA
Publication Details
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Reversed latissimus dorsi muscle flap for repair of recurrent congenital diaphragmatic hernia.
J Pediatr Surg. 2003; (3): 296-300; discussion 296-300
Neonates with large congenital diaphragmatic hernias (CDH) require prosthetic patch closure of the defect because of the paucity of native diaphragmatic tissue. As the child grows, patch separation can occur necessitating reoperation. Use of vascularized autologous tissue may decrease the incidence of reherniation as tissue incorporation and growth may be improved. The authors report our early experience using a local muscle advancement flap with microneural anastomosis for those children in whom reherniation develops after prosthetic patch placement.
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