7. Congenital Diaphragmatic Hernia In Newborns

Authors

  • k.S. Ashirbay Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • k.E. khayirov Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • E.B. Aitbayeva Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • G.T. kaukenbayeva Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • N.A. kurbanbekov Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • G.B. Altynbayeva Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • T.O. Berdaly Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan
  • N.R. Shilanbaev Scientific center of pediatrics and pediatric surgery, Almaty, Kazakhstan

DOI:

https://doi.org/10.35805/BSK2023II007

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Abstract

Congenital diaphragmatic hernia is a congenital developmental defect that can be diagnosed during the prenatal period. Diaphragmatic hernias are common diseases and, although they can often be incidental, they must be recognized as a congenital defect of the diaphragm that is dangerous for the life of the newborn. Congenital diaphragmatic hernias are characterized by traumatic tears of the herniated diaphragm (Bochdalek, Morgagni). This condition is strictly treated by surgery. In such cases, children with this disease require diagnosis and preoperative preparation according to the protocol of the Ministry of Health of the Republic of Kazakhstan for at least two days. Surgical treatment is performed after hemodynamic stabilization. During the pre- and postoperative periods, all children require active intensive therapy. This article describes the key aspects of surgical treatment. Despite the fact that congenital diaphragmatic hernia is a severe congenital defect, sometimes accompanied by the pathology of several systems or organs, the stabilization and further surgical treatment of such patients have made significant progress. Modern foreign surgery has shifted towards endoscopic surgery. The data from foreign articles and studies in the field of congenital diaphragmatic hernia allow us to expand the range of possible methods for prenatal diagnosis and treatment.

Keywords

congenital diaphragmatic hernia, newborns, types of diaphragmatic hernias, neonatal surgery

References

  1. Eimear Kirby, Richard Keijzer. Congenital diaphragmatic hernia: current management strategies from antenatal diagnosis to long-term follow-up. Pediatric Surgery International, Apr 2020, 36(4-6). DOI:10.1007/s00383-020-04625-z
  2. Putnam LR, Tsao K, Morini F, et al. Evaluation of variability in inhaled nitric oxide use and pulmonary hypertension in patients with congenital diaphragmatic hernia. JAMA Pediatr 2016;170:1188–94
  3. Emily J J Horn-Oudshoorn , Ronny Knol, Arjan B Te Pas, Stuart B Hooper, Suzan C M Cochius-den Otter, René M H Wijnen, Thomas Schaible, Irwin K M Reiss, Philip L J DeKoninck. Perinatal stabilization of infants born with congenital diaphragmatic hernia: a review of current concepts. Arch Dis Child Fetal Neonatal Ed2020 Jul;105(4):449-454
  4. Пороки развития диафрагмы. В кн.: Исаков Ю.Ф., Володин Н.Н., Гераськин А.В., ред. Неонатальная хирургия. М.: Династия; 2011: 332–58. [Poroki razvitiya diafragmy. V kn.: Isakov Yu.F., Volodin N.N., Geras’kin A.V., red. Neonatal’naya hirurgiya. M.: Dinastiya; 2011: 332–58.]
  5. Юдина Е.В. Легкие. В кн.: Медведев М.В., ред. Пренатальная эхография. М.: Реальное Время; 2005: 341–71. [Yudina E.V. Legkie. V kn.: Medvedev M.V., red. Prenatal’naya ekhografiya. M.: Real’noe Vremya; 2005: 341–71.]
  6. Некрасова Е.С. Пренатальная ультразвуковая диагностика и тактика ведения беременности при диафрагмальной грыже плода. Ультразвуковая и функциональная диагностика. 2011; 2: 47–56. [Nekrasova E.S. Prenatal’naya ul’trazvukovaya diagnostika i taktika vedeniya beremennosti pri diafragmal’noj gryzhe ploda. Ul’trazvukovaya i funkcional’naya diagnostika. 2011; 2: 47–56.]
  7. Garne E., Haeusler M., Barisic I., Gjergja R., Stoll C., Clementi M.; Euroscan Study Group. Congenital diaphragmatic hernia: evaluation of prenatal diagnosis in 20 European regions. UltrasoundObstet. Gynecol. 2002; 19(4): 329–33
  8. Rais-Bahrami K., Hsiao D., Short B.L., Baumgart S. Bilateral congenital diaphragmatic agenesis. J. NeonatalPerinatalMed. 2008; 1(1): 59–62
  9. Lennart Van der Veeken, Francesca Maria Russo, Luc De Catte, Eduard Gratacos, Alexandra Benachi, Yves Ville, Kypros Nicolaides, Christoph Berg, Glenn Gardener, Nicola Persico, Pietro Bagolan, Greg Ryan, Michael A. Belfort and Jan Deprest. Fetoscopic endoluminal tracheal occlusion and reestablishment of fetal airways for congenital diaphragmatic hernia Van der Veeken et al. Gynecological Surgery (2018), 15:9
  10. Issamatov B.K., Zholdybay Z.Zh., Tajibaev T.K., Medeubekov U.Sh., Sagatov I.Y. Feature analysis of computed tomographic signs of hepatocellular carcinoma in multiphase studies. New Armenian Medical Journal, 2022, 16(1):23– 28

Published

2023-05-16

Issue

No. 2 (2023)

Section

Статьи