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Congenital diaphragmatic hernia: Bochdalek type
American Journal of Surgery
|December 1, 1976
Summary
Congenital Bochdalek hernias cause high newborn mortality, but recent improvements show a decrease in deaths. Prolonged respiratory support may help save critically ill infants with this condition.
Area of Science:
- Pediatric Surgery
- Neonatalogy
- Congenital Abnormalities
Background:
- Congenital Bochdalek hernias are a severe condition in newborns.
- These hernias are associated with significant mortality rates.
Purpose of the Study:
- To analyze mortality trends and outcomes of congenital Bochdalek hernias.
- To evaluate the effectiveness of the abdominal approach and respiratory support.
Main Methods:
- Retrospective review of 44 congenital Bochdalek hernia cases over 19 years.
- Analysis of mortality rates, focusing on changes over time and by age at presentation.
Main Results:
- Overall mortality was 34%, decreasing from 41% to 25% in the last five years.
- Mortality for infants under 24 hours old remained high at 33% but showed improvement.
- The abdominal approach was preferred.
Conclusions:
- Mortality from congenital Bochdalek hernias is decreasing, indicating improved management.
- Prolonged respiratory support is crucial for salvaging critically ill infants.
- The abdominal approach is favored for surgical intervention.