Congenital diaphragmatic hernia: associated anomalies and antenatal diagnosis

2004 ◽  
Vol 20 (3) ◽  
pp. 170-176 ◽  
Author(s):  
Jirair K. Bedoyan ◽  
Sean C. Blackwell ◽  
Marjorie C. Treadwell ◽  
Anthony Johnson ◽  
Michael D. Klein
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Antenatal Diagnosis ◽  
Associated Anomalies

Adverse outcome of congenital diaphragmatic hernia is determined by diaphragmatic agenesis, not by antenatal diagnosis

1999 ◽  
Vol 34 (11) ◽  
pp. 1740-1742 ◽  
Author(s):  
S.J Singh ◽  
G.E Cummins ◽  
R.C Cohen ◽  
D Cass ◽  
J.G Harvey ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Antenatal Diagnosis ◽  
Adverse Outcome

CONGENITAL DIAPHRAGMATIC HERNIA: THE IMPACT OF THIS CONGENITAL ANOMALY ON PAEDIATRIC MORBIDITY AND MORTALITY

2003 ◽  
Vol 14 (2) ◽  
pp. 145-154
Author(s):  
JANET R ASHWORTH ◽  
ANTHONY D LANDER
Keyword(s):  
Congenital Anomaly ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Healthcare Professionals ◽  
Antenatal Diagnosis ◽  
Morbidity And Mortality ◽  
Fetal Anomaly ◽  
The Impact ◽  
Clear Information

When an antenatal diagnosis of a fetal anomaly is made, the parents need accurate and clear information regarding prognosis and possible outcomes, to help them make decisions. The healthcare professionals, who are involved in their care and counselling, also need this information.

Congenital diaphragmatic hernia: Antenatal diagnosis and obstetrical management

1985 ◽  
Vol 13 (3) ◽  
pp. 212-215 ◽  
Author(s):  
Robert J. Stiller ◽  
Nancy S. Roberts ◽  
Stuart Weiner ◽  
Beverly Vaughn
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Antenatal Diagnosis ◽  
Obstetrical Management

Associated anomalies in congenital diaphragmatic hernia: perinatal characteristics and impact on postnatal survival

2015 ◽  
Vol 43 (2) ◽  
Author(s):  
Nobuhiro Hidaka ◽  
Keisuke Ishii ◽  
Aki Mabuchi ◽  
Akiko Yamashita ◽  
Shiyo Ota ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Clinical Characteristics ◽  
Survival Rates ◽  
Area Ratio ◽  
Associated Anomalies ◽  
Complex Group ◽  
Liver Herniation ◽  
Postnatal Outcome ◽  
Transverse Area

AbstractWe aimed to investigate the clinical characteristics and postnatal outcomes of fetuses with congenital diaphragmatic hernia (CDH) and additional anomalies.We reviewed the charts of fetuses with CDH managed between 2005 and 2013. Patients were divided into complex and isolated groups based on the presence of additional anomalies. We analyzed the respective polyhydramnios, liver herniation, stomach position, lung to thorax transverse area ratio (LTR), and prognoses of the two groups. The survival rates of both groups were assessed based on the LTR as well as on stomach and liver positions.CDH was diagnosed in 65 fetuses, and additional anomalies were found in 23. The incidences of liver herniation, polyhydramnios, and death were significantly higher, and LTR was significantly lower, in the complex group. The mortality rate of fetuses with a LTR <0.08 was lower than that of fetuses with a LTR of ≥0.08 in the complex group. Further, the survival rate of fetuses with intrathoracic liver was lower than those without liver herniation.The prognosis of complex CDH is poor. This may result from both the associated anomalies and the severity of CDH itself. Even in complex CDHs, intrathoracic liver and LTR values are useful in estimating postnatal outcome.

scholarly journals Outcome of management of congenital diaphragmatic hernia

2015 ◽  
Vol 47 (1-2) ◽  
pp. 12-15
Author(s):  
Amar Kumar Saha ◽  
Md Barkat Ali ◽  
Sunil Kumar Biswas
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Minimal Invasive Surgery ◽  
Open Repair ◽  
Antenatal Diagnosis ◽  
Important Determinant ◽  
Minimal Invasive ◽  
Surgical Correction ◽  
Set Up ◽  
Series Report

Congenital Diaphragmatic Hernia (CDH) is a defect in the dome of diaphragm, more often in left and postero-lateral that permits the herniation of abdominal contents into the thorax. The lungs hypoplasia, pulmonary hypertension and persistent foetal circulation are important determinant of survival. The incidence is <5 in 10,000 live-births. Antenatal diagnosis is ofen made and this may be helpful in postnatal management. Treatment after birth requires all the refinements of critical care prior to surgical correction. The best hospital series report 80-100% survival. Advances in surgical management include delayed surgical approach that enables preoperative stabilization, improved prenatal diagnosis, introduction of minimal invasive surgery and application of extracorporeal membrane oxygenation in addition to the standard open repair. In our short series survival was 100% where surgical correction was made on selective 12 cases of left sided CDH in a non-ICU set-up. DOI: http://dx.doi.org/10.3329/bmjk.v47i1-2.22556 Bang Med J (Khulna) 2014; 47 : 12-15

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