Gupta A, Sidler M, van Poll D, et al. - As thoracic or abdominal approaches could be used for plication of diaphragm (DP) for eventration (DE), researchers compared outcomes between these approaches based on their experience and on systematic literature review. They recorded and analyzed retrospective records of children < 16 years who underwent DP (single-center, 2004–2018) and further, they performed systematic review and meta-analysis of related studies. They identified 89 cases in thoracic (Congenital = 5, Acquired = 84) and 13 (Congenital = 10, Acquired = 3) in abdominal group aged 5.88 (0.36–184.44) and 10.0 (0.12–181.8) months. This work is noted to be one of the largest reports on outcomes of children undergoing DP for DE. Recurrence rate did not differ significantly, even though all recurrences in this series (15.7%) were in the acquired cases operated using a thoracic approach. Significantly higher improvement was noted in diaphragm level post-DP in abdominal [2(0–4)] vs chest [1.5(0–5)] group. On Cox regression analysis, the chest group had a non-significant trend to a longer time to extubation. Patients operated transthoracically left intensive care unit after a significantly longer time.