ACHIEVEMENTS AND DISADVANTAGES IN THE EARLY DIAGNOSIS AND TREATMENT OF CONGENITAL DIAPHRAGM HERNS IN CHILDREN

Abstract

Congenital diaphragmatic hernia is a serious surgical pathology, in which newborns experience severe health conditions, life-threatening conditions. Congenital diaphragmatic hernia is one of the most common causes of stillbirth, occurring in 1 in 2,000-4,000 live births, often combined with other malformations, causing all makes up 8% of hereditary and dysembryogenetic anomalies [1].[5]. Diaphragmatic hernia is incomplete fusion of the pleuroperitoneal membrane and, as a result, a part of the abdominal cavity moves into the chest cavity [2].[10]. Often small and large intestines, stomach and spleen are found as contents of the hernia. At the same time, any other organs of the abdominal cavity can participate in the process [3] .[ 6]. 80-90% of all hernias are located in the left pleural cavity [4] .[ 18]. The most serious consequences of a hernia are lung compression and hypoplasia. The outcome of the disease is poor, with a stillbirth rate of up to 35% and a total mortality of up to 50% [5].[17]