Current management of congenital diaphragmatic hernia

Congenital diaphragmatic hernia (CDH) is a medical conundrum that challenges the physicians who care for these patients. Despite early prenatal diagnosis and optimal medical management, the results are disappointing. This lack of consistent success leaves the clinician frustrated. We present the current status of fetal surgery and novel approaches to ventilation as well as other unusual therapeutic approaches. Two cases are presented and a summary of our 11-year experience with CDH is reviewed. We conclude with complications and long-term outcomes.