الفهرس 
Anatomy and embryology of diaphragm and congenital diaphragmatic herniaOnly 14 pages are availabe for public view
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Abstract
Congenital diaphragmatic hernia (CDH) is a condition that is
classically described as a ”failed closure of the pleuroperitoneal canals
between the eighth and tenth week of gestation”. This creates an opening
between the supraperitoneal cavity and the inferior thoracic wall early in
development. The intestine protrudes into the chest cavity and encroaches
upon the lungs and heart; leading to pulmonary hypoplasia and
pulmonary hypertension.
Prenatal diagnosis is key to develop a suitable management plan that
includes taking care of the patient at a specialized institution and support
by a multidisciplinary team.
Advancements in new modalities in the management like prenatal in
utero surgery such as fetoscopic tracheal occlusion and postnatal
management with gentile ventilation, HFOV, NO, ECMO and liquid
ventilation then proceed to surgical correction of the problem by
Minimally invasive surgery with thoracoscopic or laproscopic approche
have led to improved overall survival of infants who have CDH.
Despite these new modalities in the management still there is high
morbidity and mortality rate in CDH