Congenital diaphragmatic hernia surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S

Overview

Minimally invasive surgery has become the preferred method of treatment, which can be done thoracoscopically. Such techniques also lead to reduced postoperative pain and potential complications that may be seen with more invasive surgeries.

Surgery

Unlike in the past, surgical repair is now delayed to at least 48 to 72 hours after birth. This allows the pulmonary vasculature to adapt and leads to the reduction of pulmonary hypertension. If ECMO is required, survival rates decrease by 50%.[1]

  • Morgagni's Hernia: In asymptomatic individuals laparoscopic surgical repair is still recommended as they are at risk of a strangulated intestine
  • Diaphragm Eventration: Plication basically involves a folding of the eventrated diaphragm which is then sutured in order to “take up the slack” of the excess diaphragm tissue

References

  1. "StatPearls".   ( ). 2022:  . PMID 32310536 Check |pmid= value (help).
  2. Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Gripp KW; et al. (1993). "GeneReviews®".   ( ):  . PMID 20301533.