ArticleChildren (Basel, Switzerland)2026
Delayed Dynamic Abdominal Wall Closure Following Congenital Diaphragmatic Hernia Repair Using a Gore-Tex
Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
introductiondelayed abdominal closure following congenital diaphragmatic hernia (CDH) repair is required in patients with large defects in whom primary fascial closure would risk abdominal compartment syndrome. Several strategies have been described, but most require prolonged time to definitive closure. We present a novel technique based on a Gore-Tex
methodsretrospective observational study of 41 neonates undergoing CDH repair at a tertiary referral center (2015-2023). Patients were divided into primary closure (
resultspatients requiring DDAC had more severe baseline disease, including lower O/E LHR (26.30 [21.40-31.00] vs. 42.00 [34.00-46.00],
conclusionsDDAC achieves early definitive fascial closure and appears technically feasible in CDH patients unsuitable for primary closure. Higher mortality in this group was strongly associated with baseline disease severity, though its independent relationship with the closure technique remains to be established.
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