Congenital diaphragmatic hernia: influence of associated malformations on survival.

Abstract

The medical records of 116 consecutive cases of congenital diaphragmatic hernia (CHD) among 368 772 live births at the three maternity hospitals in Dublin were emined and the incidence of associated malformations and their impact on survival analysed. The patients were divided into two groups: group I included 64 (550/o) patients who died during resuscitation and stabilisation before surgery at a mean age of 11*2 hours and group II included 52 (450/o) patients who were operated upon. All patients in group I underwent detailed postmortem examination as did the 450/0 patients who died in group II. The mean (SD) gestational age for group I patients (36-1 (4.5) weeks) was significantly lower than the mean gestational age of group II patients (39.0 (2.4) weeks). Similarly, the mean birth weight of group I patients (2415 (906) g) was significantly lower than that of group II patients (3140 (563)

Delayed Presentation of Congenital Diaphragmatic Hernia as Heart Failure

“…Thoracotomy repair is used often for large defects. As was in our case, the outcome of the patients depend of the size, duration, organs involved, lung condition and if there is any associated medical syndrome [11]. Better prognosis is seen with early diagnosis and treatment.…”

Study of a Typical Presentations in Congenital Diaphragmatic Hernia

“…Even in infants who survive to birth but die shortly thereafter, neural tube defects were the most common malformations noted. [2,3] The diagnosis of a CDH is often made on a prenatal ultrasound (US) examination and is accurate in 40% to 90%of cases. Polyhydramnios has been reported in up to 80% of pregnancies with associated CDH.…”

Late-Onset Congenital Diaphragmatic Hernia; Report of Three Cases

“…Bilateral hernilerde eşlik eden anomali varlığı ise %95'e kadar çıkabilmektedir. Nöral tüp defektleri, kardiyak defektler, genitoüriner anomaliler ve orta hat defektlerine (özofagus atrezisi, omfalosel, yarık damak gibi) sık rastlanır (13). Geç başlangıçlı KDH'li olgular ek anomaliler açısından dikkatli değerlendirilmelidir.…”