Abstract
A method of closure of diaphragmatic herniae with large defects is described in two children using a muscle flap of internal oblique and transversus abdominus from the inferior aspect of the wound. The advantages are that the flap is large, easily accessible, autologous, assists in resultant wound closure, and requires no separate incision. It differs from previously described flaps as it is taken from below the subcostal wound and is not limited in size or length by the costal margin.
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Bax NM, Collins DL (1984) The advantage of reconstruction of the dome of the diaphragm in congenital postero-lateral diaphragmatic defects. J Pediatr Surg 19: 484–487
Bianchi A, Doig CM, Cohen SJ (1983) The reverse latissimus dorsi flap for congenital diaphragmatic hernia repair. J Pediatr Surg 18: 560–563
Cartlidge PH, Mann NP, Kapila L (1986) Preoperative stabilization in congenital diaphragmatic hernia. Arch Dis Child 62: 1226–1228
Cohen D, Reid IS (1981) Recurrent diaphragmatic hernia. J Pediatr Surg 16: 42–44
Geever ED, Meredino KA (1952) Repair of diaphragmatic defects with cutis grafts. Surg Gynecol Obstet 95: 308–316
Geisler F, Gotlieb A, Fried D (1977) Agenesis of the right diaphragm repaired with marlex. J Pediatr Surg 12: 587–588
Holcomb GW Jr (1962) A new technique for repair of congenital diaphragmatic hernia with absence of the left hemi-diaphragm. Surgery 51: 534–540
Lacey SR, Goldthorn JF, Kosloske AM (1983) Repair of agenesis of the hemidiaphragm by prosthetic materials. Surg Gynecol Obstet 156: 310–312
Langer JC, Filler RM, Bohn DH, Shandling B, Ein SH, Wesson DE, Superena RA (1988) Timing of surgery for congenital diaphragmatic hernia: is emergency operation necessary? J Pediatr Surg 23: 731–734
Millar AJW, Cywes S (1990) Subcostal slide for diaphragmatic hernia repair. Pediatr Surg Int 5: 298–299
Neville WE, Glowes G Jr (1954) Congenital absence of hemi-diaphragm and use of a lobe of liver in its surgical correction. Arch Surg 69: 282–290
Newman BM, Theodore CJ, Lewis A, Cerny F, Khan A, Karp M, Cooney DR (1985) Prosthetic materials and muscle flaps in the repair of extensive diaphragmatic defects: an experimental study. J Pediatr Surg 20: 362–367
Rosenkrantz JG, Cotton EK (1964) Replacement of left hemidiaphragm by a pedicled abdominal muscular flap. J Thorac Cardiovasc Surg 48: 912–920
Sakai H, Tamura M, Hosokawa Y, Bryan AC, Barker GA, Bohn DJ (1987) Effect of surgical repair on respiratory mechanics in congenital diaphragmatic hernia. J Pediatr 111: 432–438
Simpson JS, Gassage JD (1971) Uses of abdominal wall muscle flap in repair of large congenital diaphragmatic hernia. J Pediatr Surg 6: 42–44
Weinberg J (1938) Diaphragmatic hernia in infants; surgical treatment with use of renal fascia. Surgery 3: 78–86
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Correspondence to: W. D. A. Ford
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Aspinall, J., Ford, W.D.A. Lower abdominal wall flap for closure of large diaphragmatic defects. Pediatr Surg Int 9, 223–224 (1994). https://doi.org/10.1007/BF00179621
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DOI: https://doi.org/10.1007/BF00179621