Surgical procedures for representative pediatric diaphragmatic diseases, congenital diaphragmatic hernia and diaphragmatic eventration, are described in this chapter. In congenital diaphragmatic hernia, a repair through laparotomy under direct vision is the most common procedure. Patch repair is sometimes required for huge diaphragmatic defect. Recently, thoracoscopic repair is applied more often especially for the patients with stable respiratory state. Diaphragmatic reconstruction using abdominal muscle flap can be an option for huge defect in consideration of growth. In diaphragmatic eventration, plication to avoid paradoxical movement of the diaphragm is performed.
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