Kesieme Emeka B, Kesieme Chinenye N
Department of Surgery, Irrua Specialist Teaching Hospital, PMB 8, Edo State, Irrua, Nigeria.
ISRN Surg. 2011;2011:974041. doi: 10.5402/2011/974041. Epub 2011 Dec 20.
CONGENITAL DIAPHRAGMATIC HERNIAS (CDHS) OCCUR MAINLY IN TWO LOCATIONS: the foramen of Morgagni and the more common type involving the foramen of Bochdalek. Hiatal hernia and paraesophageal hernia have also been described as other forms of CDH. Pulmonary hypertension and pulmonary hypoplasia have been recognized as the two most important factors in the pathophysiology of congenital diaphragmatic hernia. Advances in surgical management include delayed surgical approach that enables preoperative stabilization, introduction of fetal intervention due to improved prenatal diagnosis, the introduction of minimal invasive surgery, in addition to the standard open repair, and the use of improved prosthetic devices for closure.
先天性膈疝（CDH）主要发生在两个部位：莫尔加尼孔和更常见的涉及博赫dalek孔的类型。食管裂孔疝和食管旁疝也被描述为CDH的其他形式。肺动脉高压和肺发育不全已被认为是先天性膈疝病理生理学中两个最重要的因素。手术治疗的进展包括延迟手术方法，该方法能够实现术前稳定，由于产前诊断的改善而引入胎儿干预，除了标准的开放修复之外引入微创手术，以及使用改进的假体装置进行闭合。
