Congenital diaphragmatic hernia

(DDH) is another important neonatal emergency of pediatric surgery. It is the condition in which the intestines and other abdominal organs pass into the thoracic cavity through the membranous or non-membranous hole (gap) located on the posterior outer side of the diaphragm between the thoracic cavity and the abdominal cavity (1). Its incidence is 1 in 2000 pregnancies. About half of these babies are stillborn, often due to coexisting fatal anomalies. It is defined more frequently in girls than in boys (4). 85% of congenital diaphragmatic hernias are left-sided and 15% are right-sided. Bilateral cases are so rare that they do not form a percentage. Familial cases have also been reported in DDH, which is a developmental anomaly. It is known to develop due to some drugs. There are studies showing that it can occur in vitamin A deficiency. Additional anomalies are common in babies born with congenital diaphragmatic hernia. It is suspected with prenatal ultrasound or postnatal cyanosis, respiratory distress and collapsed abdomen in the baby, and absence of lung sounds on listening, heart sounds generally shifting to the right. Diagnosis is made by seeing the intestines in the chest cavity in the baby X-ray. Prenatal diagnosis is preferred because the chance of survival of the baby can be increased with appropriate interventions. He is taken to the neonatal intensive care unit immediately after birth, and his condition is stabilized by providing respiratory and circulatory support with advanced technology devices, and then corrected with open or closed surgeries.