Open AccessOutcome of Congenital Diaphragmatic Hernia: A Single Center Experience
Author(s) -
Jayasree Chandramati,
Lakshmi S. Nair,
Smriti M Me,
Ashwin Prabhu,
Mohan Abraham,
Naveen Viswanathan,
P Sasidharan
Publication year - 2020
Publication title -
journal of neonatal surgery
Language(s) - English
Resource type - Journals
ISSN - 2226-0439
DOI - 10.47338/jns.v8.354
Subject(s) - medicine , congenital diaphragmatic hernia , pulmonary hypoplasia , pneumothorax , retrospective cohort study , hernia , hypoplasia , perioperative , cohort , diaphragmatic breathing , pediatrics , single center , diaphragmatic hernia , surgery , fetus , pregnancy , pathology , genetics , alternative medicine , biology
Background: Congenital diaphragmatic hernia (CDH) is a complex malformation with a challenging perioperative care. The outcome is still not very impressive in developing countries despite its remarkable improvement in developed countries.Methods: We analyzed outcomes, and factors associated with morbidity and mortality of 120 newborns with CDH, managed at our institution.Results: The overall survival was 73.4%. Chromosomal aberrations, pneumothorax within 24 hours, left ventricular hypoplasia, biventricular dysfunction, fetal lung to head ratio (LHR)Conclusion: This is the largest series of a retrospective cohort study of CDH reported in India. We have briefly reviewed the topic and the management guidelines along with prognostic markers derived from this study.