The type of CDH repair, material used and timing of the surgery is different for each baby.   Most hospitals have their own CDH care guidelines so it is important to work with your child's medical care providers as a team and stay informed of their options and procedures.

There are several different types of surgical repair of CDH.   Below is a description of each.   It is posted for informational purposes only.   CHERUBS does not recommend any specific CDH treatment.    Every baby is different - discuss the different options with your child's pediatric surgeon and make the best decision based on his / her medical information.


Primary Repair - surgical repair involving using only diaphragm muscle available and closing the hole with sutures.

Mesh Repair - there are several different types of synthetic materials available to use:

Gore-Tex (polytetrafluoroethylene)

Marlex (polypropylene)

Lyophilized Dura

Surgisis

Small Intestinal Submucosa

Reversed latissimus dorsi muscle flap

The SIS extracellular matrix scaffold


The type of CDH repair is very important to avoid reherniation.   Each baby's hernia is different and one type of repair may be suitable or not for each hernia or reherniation.   Below is data taken from our membership: