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Diaphragmatic hernia is a congenital condition in which a hole forms in the diaphragm (the big muscle that divides the chest and abdomen). Organs in the abdomen (such as the intestines, stomach, and liver) can pass through the diaphragm and into the baby's chest. Hernias occur when an organ pushes through a hole. A diaphragmatic hernia can hinder a baby's lungs from fully growing, resulting in breathing issues at delivery.
A diaphragmatic hernia happens during the baby's growth in the womb. The diaphragm is not completely grown. As a result, organs such as the stomach, small intestine, spleen, liver, and kidney may occupy a portion of the chest cavity.
Congenital hernia of the diaphragm most commonly affects only one side of the diaphragm. It's more frequent on the left side. Often, the lung tissue and blood vessels in the region do not grow properly. It is unclear if the diaphragmatic hernia causes the undeveloped lung tissue and blood vessels, or the other way around.
Forty percent of newborns with this issue have further difficulties. Having a parent or sibling with the disease enhances the risk.
Severe respiratory issues frequently arise immediately after the infant is born. This is due in part to inefficient diaphragmatic muscle movement and lung tissue congestion. Breathing difficulties and low oxygen levels are frequently caused by undeveloped lung tissue and blood vessels.
Additional symptoms include:
During pregnancy, there are screening tests to look for various birth abnormalities and other problems. Doctors can typically identify diaphragmatic hernias before the baby is delivered. Doctors use ultrasounds to obtain images of the diaphragm and lungs in order to detect problems.
Ultrasounds during pregnancy do not always reveal diaphragmatic hernias. However, when the baby is delivered, doctors may diagnose the disease based on the newborn's difficulty breathing. A chest x-ray might reveal that organs typically found in the belly are now in the chest, and the lungs seem smaller than usual or pushed to one side.
A diaphragmatic hernia repair necessitates surgery. Surgery is performed to properly arrange the abdominal organs and fix the diaphragm hole.
The infant will require breathing assistance during the recuperation phase. Some newborns are placed on a heart or lung bypass machine to help them get adequate oxygen.
The result of surgery is determined by how well the baby's lungs grow. It also depends on whether there are any further congenital issues. Infants with a significant quantity of functioning lung tissue and no other abnormalities often have a fair prognosis.
Medical improvements have allowed more than half of newborns with this disease to survive. Babies who survive frequently struggle with breathing, eating, and development.
Dr. Parthasarathy is one of the best hernia specialists in Hyderabad. As a renowned hernia surgeon in Hyderabad, Dr. Parthasarathy has performed hundreds of hernia surgeries successfully. We offer advanced laparoscopic Hernia surgery for a variety of hernias, including umbilical hernia, inguinal hernias, incisional hernias, femoral hernias, hiatal hernias & diaphragmatic hernias.
Dr. Parthasarathy is a leading gastrosurgeon specializing in diaphragmatic hernia repair in Hyderabad. He uses advanced laparoscopic techniques to precisely reposition organs and repair the diaphragm, helping ensure better recovery outcomes.
Diagnosis often begins with prenatal ultrasounds, which can detect defects in the diaphragm and any displacement of abdominal organs. After birth, chest X-rays are typically used to confirm the condition by showing abdominal organs in the chest cavity and assessing lung development.
A diaphragmatic hernia usually occurs during fetal development when the diaphragm does not fully form. This allows abdominal organs like the stomach or intestines to move into the chest cavity. It is more commonly seen on the left side and can affect lung growth.
Surgery is generally required soon after birth, especially in severe cases where the baby has breathing difficulties. The procedure involves repairing the diaphragm and moving the organs back into the abdomen. The exact timing depends on the baby’s lung function and overall stability.
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