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DR Varsha Atul Shah Senior Consultant Dept of Neonatal and Devt Medicine, SGH Visiting Consultant Dept of Child Devt, KKH
DR Varsha Atul Shah Senior Consultant Dept of Neonatal and Devt Medicine, SGH Visiting Consultant Dept of Child Devt, KKH
DR Varsha Atul Shah Senior Consultant Dept of Neonatal and Devt Medicine, SGH Visiting Consultant Dept of Child Devt, KKH
Senior
Consultant
Dept of Neonatal
and Devt
Medicine, SGH
Visiting Consultant
Summary of
presentation
Overview
- Background
- Path physiology
- Epidemiology
- Mortality and Morbidity
Clinical Presentation
Differential diagnosis
Investigations
DiGeorge syndrome
Chromosome 15,18,13 and 21 anomalies
Fryns syndrome
Pallister-Killian syndrome
Pathophysiology and
cause
Cause is unknown
Polyhydramnios
Laparoscopic vs Thoracoscopic
MIS (Minimal Invasive surgery) ideal for Morgagni hernias but can be
challenging because the peumoperitoneum widens the defect.
Laparoscopy for Bochdalek’s has a high failure rate and is associated
with ↑pCO2 and acidemia
Contraindicated if very high pCO2.
Thoracoscopy is better approach for Bochdalek hernias with recurrence
of 14%. Open approach 3-22%.
Pectus excavatum
Neurodevelopmental delay, Cognitive skills, LD,
seizures,
Further Inpatient Care-Respiratory
care
Severely affected infants have chronic lung disease