Congenital Diaphragmatic Hernia Management and Outcomes: A Simple Literature Review
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 1
Abstract
<span>Background: </span><span>Congenital diaphragmatic hernia (CDH) is considered as one of the most common congenital anomalies. As a result, significant literatures have been done to assess the different management procedures and outcomes of each. Assessment of these literatures will support in providing better outcomes for the patients. </span><span>Objective: </span><span>Aim of the study : Assessment of different management plans of CDH, and the outcomes related. In addition to providing scientific references for analyzing all the clinical studies in this field. </span><span>Methods: </span><span>PubMed database was used for articles selection. We included all relevant articles to our review with the following topics: Congenital Diaphragmatic Hernia, Management, Outcomes, Morbidity, and Mortality. We excluded other articles which are not related to this field. The data were extracted according to specific form to be reviewed by group members to assess the different procedures, and the outcomes. </span><span>Conclusion: </span><span>Congenital Diaphragmatic Hernia has high complexity regarding its management. Prenatal screening is important because early diagnosis is helpful either in family education about the condition and its prognosis or in the decision regarding prenatal intervention. Smoking and alcohol intake are modifiable risk factors of CDH and their complications like prematurity, which is associated with high incidence of morbidity and mortality. Resolution and improvement of pulmonary hypertension either with or without treatment in the first 2-3 weeks was a major indicator of good prognosis of the case. Minimally invasive techniques showed lower rate of complications than open surgeries either prenatally like FETO or postnatally like thoracoscopic CDH repair. In addition, Hernia repair after decannulation from ECMO showed lower bleeding complications than repair on ECMO. </span>
Authors and Affiliations
Eman Helal
Keywords
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