Abstract：
Surgical repair of the diaphragm is essential for survival in congenital diaphragmatic hernia (CDH). There are many considerations surrounding the operation - why the operation matters, optimal timing of repair and its relation to extracorporeal life support (ECLS) use, minimally invasive versus open approaches, and strategies for reconstruction. Surgery is both affected by, and affects, the physiology of these infants and is an important factor in determining long-term outcomes. Here we discuss the evidence and provide insight surrounding this complex decision making, technical pearls, and outcomes in repair of CDH.
摘要：
膈肌的手术修复对于先天性膈疝（CDH）的生存至关重要。围绕手术有很多考虑因素-为什么手术很重要，最佳修复时机及其与体外生命支持(ECLS)使用的关系，微创与开放入路，和重建战略。手术都受到影响，和影响，这些婴儿的生理机能是决定长期结局的重要因素。在这里，我们讨论证据并提供围绕这个复杂决策的见解，技术珍珠,以及CDH修复的结果。
