African Journal of Paediatric Surgery

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 9  |  Issue : 3  |  Page : 217--222

Congenital diaphragmatic hernia in neonate: A retrospective study about 28 observations


Rachid Khemakhem1, Basma Haggui1, Houda Rahay1, Faouzi Nouira1, Awatef Charieg1, Sofiane Ghorbel1, Mahdi Trifa2, Said Jlidi1, Sonia Ben Khalifa2, Beji Chaouachi1 
1 Department of Pediatric Surgery "B", Children's Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia
2 Department of Anesthesia and Intensive Care, Children's Hospital of Tunis, University of Tunis El Manar, Tunis, Tunisia

Correspondence Address:
Rachid Khemakhem
Department of Pediatric Surgery DQBDQ, ChildrenSQs Hospital of Tunis, Bab Saadoun Place 1007, Tunis
Tunisia

Objective: Our purpose was to review our experience with congenital diaphragmatic hernia emphasizing diagnosis, management, and outcome. Study Design: We conducted a retrospective review of all cases of babies with congenital diaphragmatic hernia diagnosed and treated in our centre from 1998 to 2010. Results: There were 28 congenital diaphragmatic hernia cases, 13 girls and 15 boys with a mean weight birth of 3 kg. Three patients (10, 6% of cases) died within a few hours after admission. In the remaining cases, surgery was performed after a stabilization period of 2 days. The diaphragmatic defect was sitting in the posterolateral left in 23 cases and right in 2 cases. Its dimensions were on average 4,5 cm, tow cases of agenesis of the cupola were seen and required the placement of gortex prosthesis. The remaining cases are treated by direct closure of defect. Postoperative course was marked by an early death in context of respiratory distress in six cases and later with sepsis in tow cases. The outcome was favourable in 17 cases (60, 7%), despite the occurrence of sepsis in four cases and evisceration in two cases. Conclusions: Congenital diaphragmatic hernia remains a serious disease with high mortality and morbidity despite advances in prenatal diagnosis and neonatal resuscitation.


How to cite this article:
Khemakhem R, Haggui B, Rahay H, Nouira F, Charieg A, Ghorbel S, Trifa M, Jlidi S, Khalifa SB, Chaouachi B. Congenital diaphragmatic hernia in neonate: A retrospective study about 28 observations.Afr J Paediatr Surg 2012;9:217-222


How to cite this URL:
Khemakhem R, Haggui B, Rahay H, Nouira F, Charieg A, Ghorbel S, Trifa M, Jlidi S, Khalifa SB, Chaouachi B. Congenital diaphragmatic hernia in neonate: A retrospective study about 28 observations. Afr J Paediatr Surg [serial online] 2012 [cited 2020 Nov 28 ];9:217-222
Available from: https://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2012;volume=9;issue=3;spage=217;epage=222;aulast=Khemakhem;type=0