The first experience in Ukraine of total replacement of a diaphragm defect (with its aplasia) by a muscle autograft in a newborn child

Congenital diaphragmatic hernias, in newborns, with large defect of the diaphragm, are an extreme risk group and characterized by high mortality. We present our own experience of successful surgical treatment of a newborn with aplasia of the left half of the diaphragm. The child was born in the State Institution «Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova National Academy of Medical Sciences of Ukraine» with a prenatal diagnosis. After preoperative stabilization, for the first time in Ukraine, the left half of the diaphragm was completely replaced with a split muscle flap from the anterior abdominal wall. The child survived after the operation, his physical development corresponds to age. During the 3-year follow-up, there are no signs of recurrence. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.