c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Congenital Diaphragmatic Hernia Repair: 10

A D V E R T I S E M E N T

   
 

All of the viscera shown here was removed from this patient's chest through the defect in the diaphragm.       

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Congenital Diaphragmatic Hernia Repair: 11

A D V E R T I S E M E N T

   
 

This patient actually had a hernia sac that extended into the thoracic cavity. A sac is not very common in diaphragmatic hernias as it implies that the diaphragm had actually closed. Most likely it represents a late defect – when the pleuroperitoneal membranes have just closed but before they have much structural integrity, leading to the sac in the chest. The fact that this child’s lungs were quite stable pre-operatively also suggests a late defect.     

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Congenital Diaphragmatic Hernia Repair: 12

A D V E R T I S E M E N T

   
 

The sac is removed and the rim of diaphragm is dissected free.       

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This page was last modified on 3/15/1999.