Original Research Article
Year: 2017 | Month: March | Volume: 7 | Issue: 3 | Pages: 22-26
Congenital Diaphragmatic Hernia Treatment and Outcome Analysis: A 7- Years Experience in a Northern Part of Karnataka in Single Center
RashmiV Annigeri1*, Venkatesh M. Annigeri2**, Anil B. Halgeri2**, Bahubali Gadgade1**
1Assistant Professor, 2Professor,
*Depts. of Anesthesiology, **Depts. of Paediatric Surgery,
SDM College of Medical Sciences and Hospital, Sattur, Dharwad, Karnataka, India
Corresponding Author: Venkatesh M. Annigeri
ABSTRACT
Background: This study aimed to retrospectively analyze of Treatment and Outcome in congenital diaphragmatic hernia (CDH) patients in our department during a 7 year period.
Patients and Methods: A retrospective study of of all CDH infants managed in our Neonatal and Pediatric Surgery department between July 2009 and July 2016. Prenatal and maternal as well as perinatal and neonatal data were collected, including outcome parameters.
Results: Total 108babies were studied. The mean birth weight of the patients was 2,200 g and the mean gestational age was 36 weeks. The mean admission time for the patients was 72 hours. Major congenital anomaly was present in 11%. The mortality rate was 25%. Prenatal diagnosis babies, delay in diagnosis due to late referral, earlier gestational age at birth, lower birth weight, who required pre operative ventilator support and major congenital anomalies mainly cardiac anomalies were associated with high mortality rate.
Conclusion: Our data suggest a higher survival rate. We speculate that today’s cases of congenital diaphragmatic hernia are probably milder than in the past due to earlier and more detailed prenatal diagnosis and subsequent termination of pregnancies for the more severe forms of the disorder.
Key words: Congenital diaphragmatic hernia, prenatal diagnosis, congenital anomalies.