Clinical Study of Congenital Diaphragmatic Diseases in Neonates and Infants.
- Author:
Soo hong KIM
1
;
Yong hoon CHO
;
Je ho RYU
Author Information
1. Department of Surgery, Pusan National University Hospital, Gyeongsangnam-do, Korea.
- Publication Type:Original Article
- Keywords:
Congenital diaphragmatic disease;
Congenital diaphragmatic hernia;
Bochdalek's hernia
- MeSH:
Birth Weight;
Diaphragmatic Eventration;
Female;
Gestational Age;
Heart Diseases;
Hernia;
Hernia, Diaphragmatic;
Hernia, Hiatal;
Humans;
Infant;
Infant, Newborn;
Male;
Medical Records;
Retrospective Studies
- From:Journal of the Korean Association of Pediatric Surgeons
2010;16(2):143-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Congenital diaphragmatic disease is one of the common major congenital anomalies, and its mortality remained still high despite recent medical advances. The aim of this study is to examine the clinical characteristics of congenital diaphragmatic diseases. A total of 39 patients with congenital diaphragmatic disease that underwent surgery from January, 1997 to December, 2009 at Pusan National University Hospital were included in this study. Medical records were retrospectively reviewed. The male to female ratio was 30:9. Six out of 39 cases died (NS) before surgery, 17 patients had Bochdalek's hernia (BH), 11 patients hiatus hernia (HH), 4 diaphragmatic eventration (DE), and 1 Morgagni hernia (MH). There were no differences in mean birth weight and mean gestational age. NS (83.3%). BH (35.3%) was diagnosed more frequently than other diseases in the prenatal period. Three patients (17.6%) of BH expired due to pulmonary hypoplasia and 1 patient had co-existing congenital heart disease. BH was diagnosed more frequently in the prenatal stage and had a higher motality rate than other conditions. Therefore, BH needs to be concentrated more than other anomalies.
