Congenital Diaphragmatic Hernia in Neonate: Experience in a Teaching Hospital

Authors

  • SE Khan Classified Specialist in Paediatric Surgery, CMH, Dhaka
  • AKMZ Siddiq Former DGMS, Bangladesh Armed Forces
  • M Nessa Classified Specialist in Surgery, CMH, Dhaka

DOI:

https://doi.org/10.3329/jafmc.v7i1.8623

Keywords:

Congenital diaphragmatic hernia, neonate, Bochdalek type

Abstract

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

DOI: http://dx.doi.org/10.3329/jafmc.v7i1.8623

JAFMC Bangladesh. Vol 7, No 1 (June) 2011; 28-30  

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How to Cite

Khan, S., Siddiq, A., & Nessa, M. (2011). Congenital Diaphragmatic Hernia in Neonate: Experience in a Teaching Hospital. Journal of Armed Forces Medical College, Bangladesh, 7(1), 28–30. https://doi.org/10.3329/jafmc.v7i1.8623

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Original Papers