diaphragmatic hernia repair, congenital…

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diaphragm, diaphragmatic hernia repair, a congenital, present from birth, diaphragmatic hernia, a defect, the diaphragm, large dome-shaped muscle that separates the chest cavity, abdomen, fails to completely develop, condition, immediate surgery, repair the damage, defect, incomplete diaphragm has a large hole, the abdominal organs, pass, herniate, chest cavity, most commonly the hole occurs on the left side, 90% of cases, compresses the fetal lung nearest the hernia, preventing full development, interferes, breathing, infant is born, incidence of congenital diaphragmatic hernia is approximately 1 in 2,000 births, boys, more commonly affected, the child is under general anesthesia, an incision is made, in the upper abdomen, under the ribs, abdominal organs, gently pulled down, the opening, in the diaphragm, positioned, abdominal cavity, hole, in the diaphragm is repaired, incision is stitched closed, a large defect is present, a plastic patch, cover the defect, in the diaphragm, a tube, in the chest, air, blood, fluid to drain, affected lung, re-expand, tube remains in place after surgery, the abdominal organs pass, chest cavity, lung tissue on the affected side is compressed, fails to grow, unable to expand after birth, the child begins to breathe, cry, swallow, air enters the intestines, protruding, chest, increasing size, the intestines puts pressure on the other side, the chest, lung, heart, quickly cause a life-threatening situation, indications, diaphragmatic hernia repair, chest x-rays showing diaphragmatic hernia, severe breathing difficulty, respiratory distress, shortly after birth, prenatal ultrasound often identifies a diaphragmatic hernia, risks, anesthesia, reactions to medications, problems breathing, surgery, bleeding, infection, complications, collapsed lung, pneumothorax, the affected lung to expand, mature, diaphragmatic hernia, life-threatening condition that, surgery, symptoms develop, in the first 24 hours of life, outcome depends on the lung development on the affected side, most babies, require ventilator support, use of a machine to help them breathe, after surgery, generally the prognosis is very good, infants, adequate lung tissue, babies, require several weeks of hospitalization after surgery depending on how long breathing needs to be supported, a machine, feeding is begun, first bowel movement is passed, feeding, a tube, stomach, small intestines, breathing tube is removed.