AI Article Synopsis
- The article discusses the treatment of congenital diaphragmatic hernia in newborns and esophageal hernias in young children, highlighting changes in surgical practices since 2010.
- The updated approach includes extended preoperative preparation, use of high-frequency lung ventilation, and stabilization of patients before planned surgery through low-invasive endosurgery.
- Over the past five years, 25 children have undergone successful operations with a reduced mortality rate of 12% for congenital diaphragmatic hernia, emphasizing the importance of early diagnosis and prenatal assessment of lung health.
Article Abstract
The article presents our experience of treatment of congenital diaphrogmatic hernia at newborns and hernia of an esophageal opening of a diaphragm among children of early age. Since 2010 surgical tactics has been changed: the prolonged preoperative preparation with use of the device of high-frequency ventilation of lungs, correction of symptoms of pulmonary hypertensia is carried out, operation is carried out according to plan after stabilization of the patient in parameters of oxygenation and an acid-base state, operative treatment is executed by method of low-invasive endosurgery. Over the last 5 years 25 children with good functional and cosmetic results have been operated. The lethality in the case of congenital diaphragmatic hernia at newborns decreased to 12%, it was noted generally among patients with the expressed hypoplasia of lungs which died during preoperative preparation. In recent years we place emphasis on antenatal diagnosis of pathology and prenatal diagnostics of degree of a hypoplasia of a lung on indicators of a pulmonary and head index at a fetus. It wasn't noted a postoperative lethality.
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