by: abdullah hussain al saqqaf. a developmental defect of the diaphragm that allows abdominal...

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PEDIATRIC SURGERY PRESENTATION By: Abdullah Hussain Al Saqqaf

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Page 1: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

PEDIATRIC SURGERY PRESENTATION

By: Abdullah Hussain Al Saqqaf

Page 2: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Congenital Diaphragmatic Hernias

A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.

There are three types of CDHs’

Page 3: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Congenital Diaphragmatic Hernias

Page 4: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Embryology and pathophysiology

What happens during fetal development?

What is the underlying pathophysiology?

Page 5: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Epidemiology

What is the incidence? What is the Mortality rate? What is the Survival rate?

Page 6: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Features

In which of the two genders is it more common?

Which side of the thoracic cavity does it more commonly occur in?

Which organs are more commonly herniating in this type of diaphragmatic hernia?

Page 7: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Clinical Picture

How do patients present?What signs are expected to

be found inthese patients?

Page 8: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

InvestigationWhich investigations are used to diagnose a patient with a Morgagni’s Hernia in the antenatal period?What other inv should be performed?

Page 9: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Investigations

What investigations should be performed to diagnose a newborn with a Morgagni’s Hernia?

Page 10: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Complications

What is the most serious complication?

What other complications might occur?

Page 11: By: Abdullah Hussain Al Saqqaf.  A developmental defect of the diaphragm that allows abdominal viscera to herniate into the chest.  There are three

Treatment

What are the options of Management?