A. A. Schematic drawing of an unreduced left CDH as seen from the abdomen. B. The same hernia after reduction, demonstrating that the spleen is the last.

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A. A. Schematic drawing of an unreduced left CDH as seen from the abdomen. B. The same hernia after reduction, demonstrating that the spleen is the last organ to be reduced from the chest cavity. Sutures have been placed for a primary repair. C. Completed primary repair of a left CDH. D. Repaired left CDH using prosthetic material. From Spitz L, Coran AG, eds. Rob and Smith’s Pediatric Surgery. London, United Kingdom: Chapman & Hall; 1996. Erik D. Skarsgard, and Michael R. Harrison Pediatrics in Review 1999;20:e71-e78 ©1999 by American Academy of Pediatrics