Outcome of Congenital Diaphragmatic Hernia: A Single Center Experience

Jayasree Chandramati, Lakshmi S Nair, Smriti M Menon, Ashwin Prabhu, Mohan Abraham, Naveen Viswanathan, Sasidharan Ponthenkandath

Abstract


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.


Keywords


Congenital diaphragmatic hernia; Newborn; Outcome; Factors; Survival; Developing country

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Copyright (c) 2019 Jayasree Chandramati, Lakshmi S Nair, Smriti M Menon, Ashwin Prabhu, Mohan Abraham, Naveen Viswanathan, Sasidharan Ponthenkandath

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