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Khalifa open_En

Diaphragmatic Hernia Repair

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The chest cavity includes the heart and lungs. The abdominal cavity includes the liver, stomach, and small and large intestines. These two regions are separated by the diaphragm, which is a large, dome-shaped muscle. 

When the diaphragm develops with a hole in it, the abdominal organs can pass into the chest cavity. The lung tissue on the affected side is compressed, fails to grow normally, and is unable to expand after birth. As the baby begins to breathe, cry, and swallow, air enters the intestines that are protruding into his chest. The increasing size of the baby's intestines puts pressure on the other side of his chest, lung, and heart, and can quickly cause a life-threatening situation. Diaphragmatic hernias are diagnosed by: chest X-rays prenatal ultrasound noticeable breathing difficulty (respiratory distress) shortly after the baby's birth. 

An incision is made in the baby's upper abdomen, under the ribs. The abdominal organs are gently pulled down through the opening in the diaphragm, and are positioned correctly inside of the abdominal cavity. 

The hole in the baby's diaphragm is repaired, and the incision is stitched closed. A tube is placed inside of his chest to allow air to flow, and blood and fluid to drain, so that the lung can re-expand. 

The baby's lung tissue might be underdeveloped on the affected side, and the outcome of this lung tissue depends upon its future development. Infants who survive surgery may have some long-term lung disease

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