Congenital diaphragmatic hernia presenting after the newborn period

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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

G Schimpl1, R Fotter, H Sauer

  • 1Department of Paediatric Surgery, University of Graz, Medical School, Austria.

European Journal of Pediatrics
|September 1, 1993
PubMed

Insights

Late-presenting congenital diaphragmatic hernia (CDH) is often misdiagnosed, delaying treatment. Early awareness and diagnostic imaging are crucial for timely surgical repair and improved outcomes in affected children.

Area of Science:

  • Pediatric Surgery
  • Medical Diagnostics
  • Congenital Abnormalities

Background:

  • Late-presenting congenital diaphragmatic hernia (CDH) poses diagnostic challenges.
  • Delayed diagnosis is common, impacting treatment initiation.

Purpose of the Study:

  • To highlight diagnostic difficulties and delays in late-presenting CDH.
  • To emphasize the importance of prompt diagnosis and surgical intervention.

Main Methods:

  • Retrospective review of seven pediatric patients with late-presenting Bochdaleck hernia.
  • Analysis of diagnostic methods, including chest X-rays and contrast studies.
  • Surgical outcomes following abdominal repair.

Main Results:

  • Patients aged 1 month to 9 years presented with symptoms like feeding difficulties or respiratory infections.
  • Diagnostic delays ranged from 1 week to 5 years despite initial chest X-rays.
  • All patients underwent successful abdominal repair without complications, with symptom resolution.

Conclusions:

  • Increased clinical suspicion for CDH is vital in children with respiratory or feeding issues.
  • Careful chest film analysis and imaging techniques (contrast, ultrasound) can prevent misdiagnosis and treatment delays.
  • Timely surgical closure of diaphragmatic defects leads to positive outcomes.

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