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. 2011:2011:974041.
doi: 10.5402/2011/974041. Epub 2011 Dec 20.

Congenital diaphragmatic hernia: review of current concept in surgical management

Emeka B Kesieme  1 , Chinenye N Kesieme
Affiliations

Congenital diaphragmatic hernia: review of current concept in surgical management

Emeka B Kesieme et al. ISRN Surg. 2011.

Abstract

CONGENITAL DIAPHRAGMATIC HERNIAS (CDHS) OCCUR MAINLY IN TWO LOCATIONS: the foramen of Morgagni and the more common type involving the foramen of Bochdalek. Hiatal hernia and paraesophageal hernia have also been described as other forms of CDH. Pulmonary hypertension and pulmonary hypoplasia have been recognized as the two most important factors in the pathophysiology of congenital diaphragmatic hernia. Advances in surgical management include delayed surgical approach that enables preoperative stabilization, introduction of fetal intervention due to improved prenatal diagnosis, the introduction of minimal invasive surgery, in addition to the standard open repair, and the use of improved prosthetic devices for closure.

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Figures

Figure 1
Figure 1
Chest radiograph showing intestinal loops in the left thoracic cavity.
Figure 2
Figure 2
Chest radiograph showing the stomach in the left thoracic cavity.
Figure 3
Figure 3
Primary repair.
See this image and copyright information in PMC

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