Congenital Diaphragmatic Hernia in Neonate: Experience in a Teaching Hospital
Keywords:Congenital diaphragmatic hernia, neonate, Bochdalek type
Introduction: Congenital diaphragmatic hernia (CDH) is one of the major surgical causes of respiratory distress in neonates. Reported survival averages 60% but may be significantly lower. Pulmonary hypertension and pulmonary hypoplasia are recognised as two corner stones of the pathophysiology of CDH.
Objective: Objective of the study was to evaluate the outcome of this birth defect in Bangladesh situation.
Method: This retrospective study was carried out at the Department of Paediatric Surgery of Combined Military Hospital, Dhaka over a period of five years. During this period a total of 8 neonates of CDH were admitted in this hospital. All the data were collected from record sheet and were compiled.
Result: Age of patients ranged from 1 day to 20 days. Out of 8 neonates 5 (62.50%) were male and 3 (37.50%) were female. All patients were diagnosed postnatally. All the 8 neonates had Bochdalek type of CDH. Seven patients (87.50%) had left sided hernia. Two patients (25%) died before operation in the stabilization phase while on ventilator and 6 (75%) were operated. Out of these 6 patients, 5 (left sided) were operated through abdominal route and 1 (right sided) was approached through thorax. Overall outcome was satisfactory in 5 neonates and one died.
Conclusion: Early intervention can result good prognosis in CDH.
Key words: Congenital diaphragmatic hernia; neonate; Bochdalek type
JAFMC Bangladesh. Vol 7, No 1 (June) 2011; 28-30