Which Biomaterial Offers the Lowest Recurrence Rate in Congenital Diaphragmatic Hernia Repair?

Researchers reviewed 63 papers on 4598 CDH patients to evaluate patch repair outcomes. They found that goretex/marlex had the lowest recurrence rate at 3.6%. Recurrence rates were also low for teflon (4.2%) and dacron (5.6%), with goretex being the most popular patch material. Synthetic non-resorbable materials had the lowest recurrence rate (14.0%), while combined natural and synthetic resorbable materials had a 100% recurrence rate. Over one-third of CDH cases were closed with patches, using 19 different types.