Diaphragmatic hernia - Treatment

Surgical therapy:
Traumatic rupture of the diaphragm may require surgery if thepatient shows any immediate or late after trauma. The increased incidence dictates the need for concomitant abdominal injuriesabdominal exploration after the establishment of emergencyresuscitation.

The practice subcostala an incision to repair the hernia by using aprosthetic material. Hernias are addressed by long-termthoracotomy or laparotomy. The laparotomy is often used to viewthe abdominal contents better. Minimally invasive surgical approaches video-assisted thoracoscopic techniques, orlaparoscopic procedures are now being studied.

Prognosis:
With the development of new techniques for extracorporealoxygenation mortality rate decreased diaphragmatic hernia. Long-term morbidity includes gastroesophageal reflux disease,neurological disorders and musculoskeletal disorders anddevelopment.

Current research aiming to use inhaled nitric oxide, partial liquidventilation and the possibility of lung transplantation in children withsevere hypoplasia. Minimally invasive techniques for hernia latentcorrection are explored.

Some medical centers use intrauterine fetal surgery to repairdiaphragmatic defects and pulmonary hypoplasia preventproblems. Fetoscopiei weak link remains premature rupture of membranes.