open access

Vol 79, No 1 (2008)
ARTICLES
Get Citation

Diaphragmatic hernia in Reference Hospital ICZMP – diagnostic problems and outcome

Andrzej Chilarski, Lucjusz Jakubowski, Andrzej Kulig, Tadeusz Biegański, Iwona Maroszyńska, Grzegorz Krasomski, Przemysław Oszukowski, Jan Wilczyński, Krzysztof Szaflik, Joanna Janiszewska-Skorupa, Sebastian Foryś, Maria Respondek-Liberska
Ginekol Pol 2008;79(1).

open access

Vol 79, No 1 (2008)
ARTICLES

Abstract

Objectives: The aim of the study was to analyze US/ECHO examinations in fetuses with diaphragmatic hernia (DH) diagnosed and treated in our institution from 1994-2006, and their follow-up. Material and methods: Retrospective analysis of the data base from Department for Diagnoses & Prevention of Fetal Malformations, Research Institute of the Polish Mother’s Memorial Hospital: 14 481 fetal echo/ultrasound examinations in 10 077 fetuses have been analyzed to retrieve 115 fetuses with DH. Results: The mean gestational age at the targeted US/ECHO examination was 30 wks. There were 8 terminations of pregnancies (at mean 21 wks), 6 intrauterine demises, 60 neonatal deaths after delivery (in 1-3rd day of postnatal life), 8 deaths after surgery, 19 neonates were discharged home and in 14 cases the follow-up could not be monitored. The most common anomalies accompanying DH have been central nervous system anomalies (20%), polyhydramnion (16%) and cong heart defects (10%). In this subgroup, there was 100% mortality. Isolated DH has been diagnosed in every third case. In this subgroup, 27 neonates had undergone surgery and the survival rate was 70%, however since 2004 there was not a single death on record. Conclusions: Late gestational age of US/ECHO examinations in our tertiary center suggests that DH has been relatively difficult to detect during ultrasound screening. DH and the other structural malformations have been a lethal disease in our series in 100%. Isolated DH was much less frequent and was present in every third case (29%), and in this group the survival rate was 70%, regardless of the way of the delivery (CS or Vaginal).

Abstract

Objectives: The aim of the study was to analyze US/ECHO examinations in fetuses with diaphragmatic hernia (DH) diagnosed and treated in our institution from 1994-2006, and their follow-up. Material and methods: Retrospective analysis of the data base from Department for Diagnoses & Prevention of Fetal Malformations, Research Institute of the Polish Mother’s Memorial Hospital: 14 481 fetal echo/ultrasound examinations in 10 077 fetuses have been analyzed to retrieve 115 fetuses with DH. Results: The mean gestational age at the targeted US/ECHO examination was 30 wks. There were 8 terminations of pregnancies (at mean 21 wks), 6 intrauterine demises, 60 neonatal deaths after delivery (in 1-3rd day of postnatal life), 8 deaths after surgery, 19 neonates were discharged home and in 14 cases the follow-up could not be monitored. The most common anomalies accompanying DH have been central nervous system anomalies (20%), polyhydramnion (16%) and cong heart defects (10%). In this subgroup, there was 100% mortality. Isolated DH has been diagnosed in every third case. In this subgroup, 27 neonates had undergone surgery and the survival rate was 70%, however since 2004 there was not a single death on record. Conclusions: Late gestational age of US/ECHO examinations in our tertiary center suggests that DH has been relatively difficult to detect during ultrasound screening. DH and the other structural malformations have been a lethal disease in our series in 100%. Isolated DH was much less frequent and was present in every third case (29%), and in this group the survival rate was 70%, regardless of the way of the delivery (CS or Vaginal).
Get Citation

Keywords

diaphragmatic hernia, ultrasonography - examination, echocardiography - examination, diagnosis

About this article
Title

Diaphragmatic hernia in Reference Hospital ICZMP – diagnostic problems and outcome

Journal

Ginekologia Polska

Issue

Vol 79, No 1 (2008)

Bibliographic record

Ginekol Pol 2008;79(1).

Keywords

diaphragmatic hernia
ultrasonography - examination
echocardiography - examination
diagnosis

Authors

Andrzej Chilarski
Lucjusz Jakubowski
Andrzej Kulig
Tadeusz Biegański
Iwona Maroszyńska
Grzegorz Krasomski
Przemysław Oszukowski
Jan Wilczyński
Krzysztof Szaflik
Joanna Janiszewska-Skorupa
Sebastian Foryś
Maria Respondek-Liberska

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl