CONGENITAL DIAPHRAGMATIC HERNIA IN NEWBORNS

Abstract

Congenital diaphragmatic hernia is a congenital developmental defect that can be diagnosed during the prenatal period. Diaphragmatic hernias are common diseases and, although they can often be incidental, they must be recognized as a congenital defect of the diaphragm that is dangerous for the life of the newborn. Congenital diaphragmatic hernias are characterized by traumatic tears of the herniated diaphragm (Bochdalek, Morgagni). This condition is strictly treated by surgery. In such cases, children with this disease require diagnosis and preoperative preparation according to the protocol of the Ministry of Health of the Republic of Kazakhstan for at least two days. Surgical treatment is performed after hemodynamic stabilization. During the pre- and postoperative periods, all children require active intensive therapy. This article describes the key aspects of surgical treatment. Despite the fact that congenital diaphragmatic hernia is a severe congenital defect, sometimes accompanied by the pathology of several systems or organs, the stabilization and further surgical treatment of such patients have made significant progress. Modern foreign surgery has shifted towards endoscopic surgery. The data from foreign articles and studies in the field of congenital diaphragmatic hernia allow us to expand the range of possible methods for prenatal diagnosis and treatment.