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The hernial contents were placed in the normal position, the defects of the diaphragm were completely exposed, and an interrupted mattress suture was performed at the margins of the defects.In neonates having a hernial sac, the sac was removed and a drainage tube was retained, if necessary.Department of Pediatric Surgery, Capital Instiute of Pediatrics-Peking University Teaching Hospital; Department of Graduate School, Peking Union Medical College, Beijing, People's Republic of China Objective: The objective of this study is to evaluate the clinical efficacies of open versus endoscopic surgery in the treatment of congenital diaphragmatic hernia (CDH) and investigate the feasibility and safety of endoscopic surgery as an alternative to open surgery in these cases.

Atraumatic forceps were used to place the hernial contents (such as spleen and intestine) back into the abdominal cavity, and scissors were used to cut the peritoneum at the internal layer of the hernial sac at the sac neck, after which it was separated and resected.Treatment methods All effort was made to correct any electrolyte and acid-base imbalances, control any pulmonary infection and improve the nutritional status of all patients before surgery.After all patients fasted for the appropriate amount of time before surgery, a gastric tube was inserted and intestinal lavage was performed.The pre-, intra- and post-operative data on the neonates were analysed, and the surgery-related complications, survival rates and recurrence rates were compared between the two groups.Results: Demographic characteristics were not significantly different between the two groups.

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