Prosthesis for Agenesis of the Diaphragm

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Abstract
CONGENITAL HERNIA occurs in several areas of the diaphragm with varying degrees of deficiency. Aside from the retrosternal (foramen of Morgagni) and esophageal hiatal hernias, most diaphragmatic defects occur in either posterolateral portion of the diaphragm (foramen of Bockdalek). The left side is more frequently involved than the right. Rarely is the defect so large that only a rim of diaphragm exists around it. Even more rare is a complete absence of the diaphragm without even a rudimentary rim around the periphery.1 Surgery has been advocated by either an abdominal or thoracic approach, with a majority favoring the abdominal approach in the newborn.2 The usual partial defect permits simple approximation of the edges for repair. A larger defect is repaired by this method with greater difficulty. Complete absence (agenesis) of the diaphragm poses a new problem of replacement. A case of complete absence of the left leaf of

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