Congenital Diaphragmatic Hernia

Chapter

Abstract

Congenital diaphragmatic hernia occurs in approximately 1 in 3,000 live births. There are two distinct anatomic forms that differ significantly in their physiologic effects. The more common and certainly more challenging type is the posterolateral (Bochdalek) hernia. Anterior defects (Morgagni) are much less common and also much less morbid, often not presenting until well beyond infancy.

Keywords

Fatigue Surfactant Catheter Ischemia Dopamine 

Suggested Reading

  1. Al-Salem AH. Congenital hernia of Morgagni in infants and children. J Pediatr Surg. 2007;42(9):1539–43.CrossRefPubMedGoogle Scholar
  2. Arca MJ, Barnhart DC, Lelli Jr JL, Greenfeld J, Harmon CM, Hirschl RB, et al. Early experience with minimally invasive repair of congenital diaphragmatic hernias: results and lessons learned. J Pediatr Surg. 2003;38(11):1563–8.CrossRefPubMedGoogle Scholar
  3. Danzer E, Davey MG, Kreiger PA, Ruchelli ED, Johnson MP, Adzick NS, et al. Fetal tracheal occlusion for severe congenital diaphragmatic ­hernia in humans: a morphometric study of lung parenchyma and muscularization of pulmonary arterioles. J Pediatr Surg. 2008;43(10): 1767–75.CrossRefPubMedGoogle Scholar
  4. Hedrick HL. Management of prenatally diagnosed congenital diaphragmatic hernia. Semin Fetal Neonatal Med. 2010;15(1):21–7.CrossRefPubMedGoogle Scholar
  5. Hedrick HL, Crombleholme TM, Flake AW, Nance ML, von Allmen D, Howell LJ, et al. Right congenital diaphragmatic hernia: prenatal assessment and outcome. J Pediatr Surg. 2004;39(3):319–23.CrossRefPubMedGoogle Scholar
  6. Kim AC, Bryner BS, Akay B, Geiger JD, Hirschl RB, Mychaliska GB. Thoracoscopic repair of congenital diaphragmatic hernia in neonates: lessons learned. J Laparoendosc Adv Surg Tech A. 2009;19(4):575–80.CrossRefPubMedGoogle Scholar
  7. Nasr A, Struijs MC, Ein SH, Langer JC, Chiu PP. Outcomes after muscle flap vs prosthetic patch repair for large congenital diaphragmatic hernias. J Pediatr Surg. 2010;45(1):151–4.CrossRefPubMedGoogle Scholar
  8. Ruano R, Aubry MC, Barthe B, Dumez Y, Benachi A. Three-dimensional ultrasonographic measurements of the fetal lungs for prediction of perinatal outcome in isolated congenital diaphragmatic hernia. J Obstet Gynaecol Res. 2009;35(6):1031–41.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of General SurgeryChildren’s Hospital of PhiladelphiaPhiladelphiaUSA

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