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Cοngenital diaphragmatic hernia in dakar, senegal
1Service de Chirurgie Pédiatrique CHU Aristide Le Dantec, Dakar, Sénégal.
Insights
Congenital diaphragmatic hernia (CDH) in Dakar primarily presents with respiratory issues in newborns. Early diagnosis via thoracic-abdominal radiography and surgical repair lead to good outcomes.
Area of Science:
- Pediatric Surgery
- Neonatology
- Medical Imaging
Background:
- Congenital diaphragmatic hernia (CDH) presents significant management challenges, particularly in resource-limited environments.
- Understanding the specific patterns and challenges of CDH in Dakar, Senegal, is crucial for improving patient care.
Purpose of the Study:
- To investigate the epidemiological pattern of congenital diaphragmatic hernia in Dakar, Senegal.
- To identify the diagnostic and management challenges associated with CDH in this specific setting.
Main Methods:
- A retrospective review was conducted on 14 pediatric patients diagnosed with congenital diaphragmatic hernia (CDH) over an eleven-year period.
- Data collected included patient demographics, clinical presentation, diagnostic imaging findings, and treatment outcomes.
Main Results:
- The study included 9 boys and 5 girls, with a mean age of 5 months. The majority of patients (13/14) presented with respiratory distress.
- Thoracic-abdominal radiography identified Bochdalek hernias in 71% of cases (left-sided) and Morgagni hernias in 29%.
- Surgical repair using non-absorbable sutures resulted in an uneventful postoperative course for 13 patients, with one mortality.
Conclusions:
- Congenital diaphragmatic hernia in this population predominantly manifests with postnatal respiratory symptoms.
- Thoracic-abdominal radiography is effective for early diagnosis, enabling prompt and successful surgical intervention with favorable outcomes.
Background:
Congential diaphragmatic herniae pose serious challenges in their management in this environment.Aim & Objective: To determine the pattern, as well as the diagnostic and management challenges of congenital diaphragmatic hernia in Dakar, Senegal.
Patients And Methods:
This is a retrospective review of 14 children with congenital diaphragmatic hernia (CDH) managed within eleven years in Dakar, Senegal.
Results:
There were nine boys and five girls with the age range of one day to 22 months and a mean of 5 months. Respiratory signs (respiratory distress, cough, current pulmonary infection) were found in 13 patients and gastrointestinal symptoms (vomiting, Difficulty sucking, anorexia) in 6 patients. The thoracic-abdominal radiography was performed in all patients and revealed a Bochdalek hernia on the left in 10(71%) cases and 4(29%) were Morgagni hernia. Treatment was by repair of the diaphragmatic defect with non-absorbable sutures. The postoperative course was uneventful in 13 children while one patient died on the first postoperative day one.
Conclusion:
Congenital diaphragmatic hernia presents mainly with postnatal respiratory features in this setting. Thoracic-abdominal radiography allows for early diagnosis, prompt and effective treatment with good outcome.
Keywords:
Congenital diaphragmatic hernia, Respiratory insufficiency, Radiological features, Good surgical outcome.
