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Discussion
Congenital diaphragmatic hernia (CDH) occurs in 1 / 2000-3000 live births.
Its overall mortality has been hard to determine as many infants die in-utero or just after birth before transfer for surgical care.
One study found that ~61% of fetuses with CDH are live born. Many of these fetuses had other congenital anomalies.
Mortality after live birth is ~ 40-62%.
There are 3 major types of CDH:
Bochdalek hernia which occurs posterolaterally
Morgagni hernia which occurs anteriorly
Hiatus hernia
Left sided Bochdalek hernias are the most common (85%). Treatment currently includes fetal surgical repair, post-natal surgical repair and critical care.
Learning Point
Cardiothoracic surgical repairs are critical for treatment of CDH and other congenital heart disease or congenital malf...
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