8253

Congenital Diaphragmatic Hernia Management and Outcomes: A Simple Literature Review

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Last updated: 03 Jan 2025

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Abstract

Background: 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. Objective: 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. Methods: 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. Conclusion: 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.

Volume

72

Article Issue

1

Related Issue

1597

Issue Date

2018-07-01

Receive Date

2018-04-04

Publish Date

2018-07-01

Page Start

3,816

Page End

3,822

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_8253.html

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https://ejhm.journals.ekb.eg/service?article_code=8253

Order

23

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Congenital Diaphragmatic Hernia Management and Outcomes: A Simple Literature Review

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Article

Created At

22 Jan 2023