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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 7 No. 1 (2016)

Repair of Congenital Diaphragmatic Hernia and Eventration Of Diaphragm Without Ventilatory Support

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2016
CONTENTSVolume 07Number 1January 2016
Editorial
Entering Into New Era: Paediatric Urology, Neonatal Surgery & Paediatric Onco-Surgery
Md AKbar Husain Bhuiyan
01
Original Articles
Repair of Congenital Diaphragmatic Hernia and Eventration Of Diaphragm Without Ventilatory Support
Mohammad Minhajuddin Sajid, Mashuk Ahmad Mushfiqur Rahman, Tanvir Kabir Chowdhury, Abdullah Al Farooq, Adnan Walid
03
The study of propranolol treatment for hemangioma of infancy- A hospital based observational study
Masuda Khatun, MM Abu Sayed, Monira Pervin
11
Hematolymphoid tumours diagnosed at department of pathology, Sir Salimullah Medical College during two years study period
Md Delwar Hossain, Md Nasimul Islam, Monira Razzak, Mohammed Kamal, Alamgir Kabir, Enamul Kabir
15
Case Reports
Young boy with hematuria followed by acute urinary retention
Sifat Zereen Khan, Md Ashraf Ul Huq, Tahmina Hossain, Md Abdur Rouf
20
Annular pancreas with duodenal obstruction- case report and review of literatures
M A Mushfiqur Rahman, Md Akbar Husain Bhuiyan, Md Minhajuddin Sajid, Muhammed Anamul Hasan, Sahadeb Kumar Das
22
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Mohammad Minhajuddin SajidAssociate Professor, Dept. of Paediatric Surgery, Chittagong Medical College, Chittagong
  • Mashuk Ahmad Mushfiqur RahmanAssistant Professor of Paediatric Surgery, Chittagong Medical College, Chittagong
  • Tanvir Kabir ChowdhuryAssistant Professor of Paediatric Surgery, Chittagong Medical College, Chittagong
  • Abdullah Al FarooqAssociate Professor, Dept. of Paediatric Surgery, Chittagong Medical College, Chittagong
  • Adnan WalidStudent of MS (Paediatric Surgery), Dept. of Paediatric Surgery, Chittagong Medical College, Chittagong

Keywords

Congenital Diaphragmatic Hernia Eventration of diaphragm Ventilatory support Persistent Pulmonary Hypertension

Abstract

Background: Congenital Diaphragmatic Hernia (CDH) and eventration of Diaphragm(ED) are important causes of respiratory distress in children. CDH and ED are more a medical emergency than a surgical one and after birth, confirmation of the diagnosis should be followed by treatment in a Neonatal Intensive Care Unit (NICU) or Special Care Neonatal Unit (SCANU), Paediatric Intensive Care Unit (PICU) to stabilize the cardiovascular system. Preoperative resuscitation and delayed surgical repair with or without the use of ExtraCorporeal Membrane Oxygenation (ECMO) improves the survivality. Methods: The medical records of all patients with CDH and ED between January 2010 and December 2015 were retrospectively reviewed. Patients’ presentation, management, operative findings and complications were evaluated. Results: 22 patients were diagnosed as CDH or ED. Male to female ratio was 4.5:1. Age range was 2 days to 7 years, median 82.5 days. Eighteen patients were CDH and 4 patients were ED. Six patients had associated malrotation of the gut. 3 patients had Congenital Heart Disease, 1 patient had Gastroschisis and another had Hiatus hernia. Four patients expired. Conclusion: Surgery preceded by a preoperative respiratory resuscitation and stabilization reduces postoperative mortality and increases the survival rate. Outcome was not very unsatisfactory without adequate ventilatory support.

Journal of Paediatric Surgeons of Bangladesh (2016) Vol. 7 (1): 3–10

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