Kamran A, et al. - Researchers aimed at identifying technical modifications concerning factors that may lower the risk of recurrence following thoracoscopic repair of congenital diaphragmatic hernia (CDH). They performed a retrospective review of all CDH patients who underwent thoracoscopic repair from April 2003 to September 2017. Technically modified repairs with underlay and overlay buttresses were performed on some of the more recently treated patients. Findings revealed a higher rate of recurrence following thoracoscopic CDH repair compared to the standard open approach, which favors performing a sandwich-type buttress repair with underlay and overlay components for both primary and patch repairs.