Congenital Diaphragmatic Hernia – Our Institutional Experience.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 1
Abstract
Aim: To evaluate the cases of congenital diaphragmatic hernia in neonates. Objective: To study the age of presentation, gender distribution, relation of birth weight and post-operative outcome, operative findings and their surgical management, pre-operative condition in terms of respiratory distress, cyanosis, chest retraction or ventilator support and post-operative outcome of neonates who were admitted our institute. Material and methods: This study was conducted in 51 neonates who presented with complaints of respiratory distress, cyanosis, chest retraction etc. between December 2017 and November 2018 in the department of paediatric surgery at our institute. Results: The male female ratio was 1.55:1 in this study. There was 4 cases of right side congenital hernia and remaining 47 were left sided. There were 29 neonates who discharge with normal respiratory pattern. The average weight of discharge neonates was 2.65 kg. Total mortality was 43.13% at our busy centre. Conclusion: Congenital diaphragmatic hernia is a medical emergency rather than surgical emergency. Mortality of neonates will be improved surgically after medical management of portal hypertension. Early onset of respiratory distress leads to worse outcome in neonates of congenital diaphragmatic hernia.
Authors and Affiliations
Dr. Dinesh Kumar Barolia
Keywords
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