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Surgery for Congenital Diaphragmatic Hernia treatment in Hebbal, Bangalore

Surgery for Congenital Diaphragmatic Hernia (CDH)

Surgery for Congenital Diaphragmatic Hernia treatment in Hebbal, Bangalore

Overview of CDH Condition 

Congenital means the medical defect that is present at birth or the defect in the baby in the womb. This CDH condition or disorder is mostly seen in infants, newborns and unborn babies. Congenital Diaphragmatic Hernia (CDH) disorder occurs when there is a hole in the diaphragm which is allowing the abdominal organs to move into the chest during the foetal development in the mother’s womb. This results in the abdominal organs like the stomach, intestines and liver migrating into the chest area where usually the heart and lungs are to be present. The CDH disorder will make the chest area crowded with abdominal organs thereby forcing the lungs to grow in a compressed state and impacting the development and normal functioning of the lungs. 

Effects of CDH Disorder 

Due to CDH, the lungs of the baby will be smaller than expected (underdeveloped lungs) called pulmonary hypoplasia. This results in less developed blood vessels which cause high BP in the lungs known as pulmonary hypertension. 

CDH disorder is a common congenital abnormality which occurs in 1 of 2,500 live births. CDH can occur on either the right or left side and barely on both sides of the chest. The cause of CDH disorder is unknown. However, genetic testing is recommended by your paediatric specialist if CDH is a genetic disorder. 

Diagnosis 

Often the CDH condition is identified in the prenatal ultrasound tests by your paediatric doctor or Ob-Gyn specialist. The CDH disorder is detected in the routine ultrasound check-up where the excess amniotic fluid or the abdominal organs are found in the foetal chest cavity. 

The CDH disorder in the foetus is confirmed by conducting detailed ultrasound and imaging tests. The foetus’s chromosome samples and the measurements of lung size are taken by the paediatric specialist. Also, the extreme focus is given to the specific findings which can confirm the presence of CDH disorder in the foetus. In genetic disorders, genetic testing is performed by an amniocentesis procedure.  

Now the severity of CDH disorder is confirmed as mild, moderate or severe by comparing the actual lung size of the baby to the expected lung size at the present stage of pregnancy. CDH disorder may also be diagnosed in newborn babies and infants usually when the newborn is having breathing problems. 

The state-of-the-art and advanced imaging facilities at Manipal Hospitals, Hebbal, offer accurate results and deeper insights into the CDH disorder of the baby. Specialised imaging facilities like MRI, CT scan, ultrasound, X-rays and many more tests assist paediatric surgeons in providing proper diagnosis and evaluation of the CDH condition of unborn babies. 

Treatment and Surgical Procedures for CDH Repair 

Although the surgery is performed following delivery on the newborn baby to close the defect of CDH disorder, this hernia treatment in Hebbal, Bangalore cannot repair or address the already caused lung damage in the foetal development during pregnancy. So, foetal therapeutic procedures are advised by your paediatric surgeon. These foetal procedures might decrease lung damage during pregnancy. The compressed lungs in the unborn baby might cause irreversible damage if the foetal procedures are not implemented at the right time. 

FETO (Fetoscopic Tracheal Occlusion) is a foetal surgical procedure that might reverse some of the lung damage resulting from lung compression. This is done by performing operative fetoscopy, called FETO. This surgery reverses the damaging effects of CDH disorder on lung function. 

Your doctor discusses the comprehensive treatment plan with you and also the optimal delivery time that is safe for both you and your baby’s health. This involves close foetal monitoring to avoid serious foetal deterioration. At Manipal Hospitals, Hebbal, laparoscopic, thoracoscopic and minimally invasive surgeries are performed to ensure no unnecessary pain and discomfort to our delicate and precious little patients. Book an appointment now to know more about treatments with the help of specialised team of experts in Bangalore.

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

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